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ral or Forestry Building Exemption Certificati\\t ‘ <br /> o r� �/J <br /> o o V Equine Facility Exemption Certification I `� v �� <br /> . on County Public Works—Building Inspection Division','Marion - 5155 Silverton Rd.NE, Salem Oregon 97305 AUG 22�4 <br /> County <br /> Phone:(503)588-5147 Fax: (503)588-7948 Email:buildings co.marion.or.us <br /> IV/I,1'30N COUNTY <br /> O R E G O N BUILDING INSPECTION <br /> Site Plan is Required—see attached information <br /> Russ Matlock : 5 0 3-7 9242 07/503-31 0-542 3 . russ.matlock@yahoo.com <br /> Owner/applicant name: Phone. Email. <br /> Mailing address: 10194 Mt.Angel Gervais Rd NE City/State: Gervais,Oregon Zip: 97026 <br /> Job site address: 10194 Mt Angel Gervais Rd NE City/State: Gervais,Oregon Zip: 97026 <br /> Parcel Information:Parcel Size: 10 Acres Parcel No.: Tax ID:514243 Zone: <br /> Proposed Building Information <br /> Describe specific use of the building and items contained within Agricultural Farm Storage Building <br /> Building Data:Length: 20' Width: 1 8 Area: 360 sq.ft. Height: 13' <br /> Type of Exemption: d Agricultural Building o Forestry Building o Equine Facility(Provide information below): <br /> What is the proposed maximum number of people(including employees,owners,etc.)that will be present in the building at <br /> any one time? 2 <br /> Will this structure be used by the public at any time? oYes II No <br /> Is the proposed structure located within a floodplain? oYes IN No <br /> Is the building located on/used in the operation of a farm? PYes o No <br /> Is the proposed structure a residential dwelling or manufactured home? oYes I9 No <br /> Is the use of the structure or the items within it used for any business or commercial activities? oYes I No <br /> If yes,please explain: Farm storage equipment and parts <br /> Agricultural/Equine Exemption Criteria—Select all that apply: <br /> II Storage,maintenance,or repair of machinery,equipment,and supplies used on this farm <br /> o Raising,harvesting,or selling crops raised on this farm <br /> o Feeding,breeding,management,or sale of livestock,poultry,furbearing animals,or honeybees <br /> o Dairying or the sale of dairy products produced on this farm <br /> o Other agricultural,horticultural,or animal husbandry used <br /> o Stabling,training,riding lessons,or clinics(Complete Equine Exemption Criteria) <br /> #of stalls/horses <br /> #of stalls/horses for personal use only <br /> #of stalls/horses used for commercial or trade purposes including boarding,training,rentals,clinics,shows,etc. <br /> Which of the following systems will the proposed structure have? <br /> Electrical oYes P No(Complete Electrical Wiring Criteria) <br /> Will there be a concrete slab either within or adjacent to the building? PYes o No <br /> Will there be fann animals(poultry excluded)within the building at any time? oYes e No <br /> Will there be farm animals(poultry excluded)on the slab at any time? oYes P No <br /> Will the building be used for storage of feed,hay,or straw? oYes U No <br /> Will the building be used for major repair of motor vehicle equipment? oYes P No <br /> Heating/cooling/ventilation/mechanical oYes P No <br /> Septic oYes INo (Any yes answer will require a separate permit) <br /> Plumbing(Please specify fixture type) oYes P No <br />