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MARION COUNTY <br /> <br />Conmmaity DevelegmentC~-nter · 28~ ~hSt.~ · R~m 132 · ~301 8:~-4:~ Phon~ 5~5147 ~ HourC~A-Pho~: ~ <br /> <br /> APPLICATION FOR EXEMPT STATUS <br /> FROM THE STRUCTURAL SPECIALTY CODE <br /> FOR AN AGRICULTURAL BUILDING ON A COMMERCIAL FARM <br /> <br /> ! <br /> <br />Is this property classified as farm deferred? Y ~ N <br />(You must provide a computer printout verifying special assessment for farm use. <br />This can be obtained at the Marion County Assessor's Office located in the Franklin <br />Building, 495 State Street, Salem) <br /> <br />Are you located within the Urban Growth Boundary? Y -- N <br /> <br />Describe in detail your commercial farm enterprise: ~r~.$~ : ~m6 · ~, <br /> <br />Describe in detail the use of and/or comodities stored in the proposed structure: <br /> <br />Is the proposed structure located within a flood plain? <br /> <br />Does the proposed structure have any of the following systems? <br />Electrical Y~ N Plumbing Y__ N ,~ Heating/Cooling/Ventilation Y <br /> <br />Where will restroom facilities be provided? ~ <br /> <br />Will persons be working in the structure more than a total of 144 hours, durieg any <br />week of the year? Y __ N _,,~ <br /> <br />IS this structure used by the public at any time? Y__ N ~ <br />Explain: <br /> <br />10. <br /> <br />What is the distance from the proposed structure to property lines and/or other <br />structures? Front ~ Rear ;~O~~ <br /> Left Side !ed0% Right Side /.~, Other structures ~-0~ <br /> <br />11. <br /> <br />This application will not be considered complete without a site plan. See attached <br />site plan requirements. <br /> <br />! certify that I have read this application and state that the information given is <br />correct. I agree to comply with all state laws and county ordinances relating to building <br />construction. <br /> <br />SIGNATU~ <br /> <br />DATE <br /> <br />PHONE <br /> <br />NAME (Please print) <br /> <br />STREET ADDRESS <br /> <br />CITY STATE ZIP <br /> <br />OFFICE USE ONLy <br />PLANNING DIVISION: <br /> Validated By: ~ <br /> <br />COMMENTS: <br /> <br />BUILDING DIVISION: Validated <br /> <br />COMMENTS: <br /> <br />sz us zoRE: <br /> Approved: / Denied: __ <br /> <br /> / <br /> Approved: / Denied: <br /> <br />APPROVED: __ <br /> DENIED: STRUCTURAL PERMIT IS REQUIRED <br /> Other permits required~ectrieal~ P]~bing, Mechanical, Septic <br />MC 15-76 <br />REV 8,'94 <br /> <br /> <br />