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BUILDING INSPECTION <br /> 3150 LANCASTER DR NE - SUITE C <br /> <br /> APPE,CAT ON EOR ':×EMPT STATUS FROM T.E STRUCTURAL SPEC,AL,TY C oC r'd-'Oq'3 'lg --3S <br /> FOR AN AGRICULTURAL BUILDING ON A COMMERCIAL FARM <br />PROPOSED LOCATION: qoo~ ,_~T "~('~L.~-.---- 14W ~. ~ ~ <br /> <br />BUILDING SITE ACRES: __]~_ TOTAL# OF ACRES FARMED:__ <br />1. Is this property classified by the Assessor as farm deferred? Y ~.z N <br />2. Are you located within the Urban Growth Boundary? Y <br /> <br />3. BE SPECIFIC in describing your commercial farm enterprise, size of operation, and annual profit. If applicable, <br /> provide proof of farm income for the last three (3) years. <br /> <br /> .3' <br /> <br />4. BE SPECIFIC in describing the use of and/or commodities that will be stored in the proposed structure: <br />5. What is the size of the proposed buildins? LENGTH"-'/Z~- WIDTH <br />6. Is the proposed structure located within a flood plain? Y N <br /> <br />7. Will the propo/~ed structure have any of the following systems? If yes- separate permits are required. <br /> Electrical Y ~/ N Plumbing Y N Heating/Cooling/Ventilation Y N Septic Y <br /> <br />8. Where will restroom facilities be provided? '-'~c~ <br /> <br />9. What is the maximum number of people present in the building at any one time during the year? ~'~ <br /> <br />10. Is this structure used by the public at any time? Y N <br /> Explain <br /> <br />N <br /> <br />11. What is the distance from the proposed structure to property lines and/or other structures? <br /> Front"/~ Rear~ Left side]~=l~ Right side~ Other <br /> <br />12. This application will not be considered complete without a site plan that includes the size of the building. <br /> **See attached site plan requirements. <br /> <br />I certify that I have read this application and state that the information given is correct. I agree to comply with <br /> <br />to building construction. <br /> . <br /> NAME (Please Print) <br /> <br /> DATE \ \ STREET ADDRESS <br /> <br />PHONE CITY STATE/ZIP CODE <br /> <br />MC15-76-REV 7/97 FOR OFFICE USE ONLY <br />APPROVED DENIED DATE <br /> <br /> <br />