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A~PLICATION FOR EXEMPT <br /> <br /> FOR ~ A~RIC~ BUILDIN~ <br /> <br />Ia ~hia pro~rty claa~iflad as farm deferral by the <br />Asseaaor Departments (You mu~t provlda a copy of your tax statement <br />showing the farm deferral. ) Y__ N -- <br />Are you located within the Urban troth Boundaryt Y ~ ~ ~rL~'~JNG INSPECTI0~ <br /> <br />Describe in detail the use of and/or oo~odities stored in th~ proposed <br />structure: ~ ~ ~ ~d~ /~/~ &e,~ ~)o~ <br /> <br />Is th~ proposed structure located within a flood plain? Y __ <br /> <br />Does the proposed structure have any of the following syetems? <br />Electrical ~ Flumbing Heating/Cooling/Ventilation <br /> <br />will persons be working in the structure more than a total of 144 hours, <br />during any week of the year? Y ~ N <br /> <br />Is this structure used by the public at any time? Y__ <br />Explain: <br /> <br />This application will not be considered complete without a site plan. <br />See attached site plan requirements. <br /> <br />relating to building co~truction. <br /> <br />SIGNATUP3~ <br /> h /fi/ ,,, <br />DATE' <br /> <br />PHONE <br /> <br />10. What is the distance from the proposed structure to /propert~ li~es <br /> and/or other structures? Front /~o~ Left Side ~-~ ~=~ ~ A~v~e <br /> Right Side _.<-~ -- Rear /~?6~; Other strueture~ <br /> <br />I certify that I have read this application and stat~ that the information <br />given is correct. I agree to comply with all state laws and county ordinances <br /> <br />Building Division Validation By: <br /> <br />COM~NTS= ~t ~ <br /> <br />A~PRO~ED: DENIED: ETRUCTUP3tLPEI~MIT IS I~QUIE~D <br /> other permits required~~, Plxuubing, Mechanical, Septic <br /> <br />7/91 <br /> <br /> <br />