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MARION COUNTY BUILDING ~qSPECTION Corranuni~ Development C~at~' · 285 Church St. NE * Room 132 * Salem, Omgoa 97301 Office Nou~: 8:~ - 4:30 Phone: 58~5147 24 Hour Cod~A-Phon~', 588-70~4 A~PLZCATION ~OR ~.XEMPT STATUS FROM THE STRUCTURAL SPECIALTY CODE FOR ~ AGRIC~ BUI~NO ON A CO~RCI~ F~ -~ ~ ~/ ~,,~ Is this property classified as farm deferred? Y ~ N (You must provide a computer printout verifying special assessment for farm use. This can be obtained at the Marion County Assessor's Office located in the Franklin ~uilding, 495 Stat~ street, Salem) Are you located within the Urban GTowth Boundary? Y N Describe in de,ail your co~ercla~ farm enterprise: 4. De,~cribe i~ detail the use of and/or commodities stored in the proposed structure: Is the proposed structure located within a flood plain? Y N Does the proposed structure have any of the.following systems? Electrical Y ~ N Plumbing y N.. /--~_. Heating/Cooling/Ventilation ¥ N Where will restrcom facilities be provided? /~dY~/~- ~/LF~D~ ~ Will persons be working in the st~cture more than a total of 144 hours, du~ing week of the year? y N Is this structure used by the public at any time? ¥ N '~ Explain: i0. What is the distance from the proposed ~tructure to property lines and/or othe~ structure ? ront ear 17' 7[ Left Simmered. Right side / B~- /k??~D~her structures 11. This application will not be considered complete without a site plan. See attached site plan requirements. I certify that I have read this application and state that the information given is correct, i agree to comply with all state laws and county ordinances relating to building PHONE OFFICE USE O~y SI~S NO.~ P~ING DIVISION: Validated ~y: ~ Approved: CemENTS: [~. S Denied: NAME (Please print) ST~T ADD.SS CITY ~T~E ZIP BUILDING DIVISION ~ Validated Ey~ ~ Approved: Denied: ~, Date~ ~PRO~D; __ DENIED: ~ STRUC~PE~IT IS MC 15-76O~h°r pe~its requi~d~al~pl,,mh~ng, MeChanical, Septic REV 8/94