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3150 LANCASTER DR NE- SUITE C <br />__ SALEM OREGON 97305 503=588°5147 <br /> <br /> PROPOSED LOCATION: ?/77 <br /> <br /> U,LDING SITEACRES: <br /> <br />t. Is this property classified by the Assessor as [arm deferred? <br /> <br /> APPLICATION FOR EXEMPT STATUS FROM THE STRUCTURAL SPECIALITY CODE <br /> FOR AN AGRICULTURAL BUILDING ON A COMMERCIAL FARM <br /> <br /> TAX ACCOUNT: <br /> <br /> TOTAL//OF ACRES FARMED: <br /> <br />2. Are you ~ooated within the Urban Growth Boundan/? Y (N_i~._) <br /> <br />3. BE SPECIFIC in describing your commercial farm enterprise, size o( operation, and annual profit. <br /> provide~roo~ o~ farm income ~or the last three (~1 ~ears. <br /> <br />4. BE SPECIFIC in describing the use of and/or commodities that will be stored in the proposed structure: <br /> <br />5. What is the size of the proposed building? LENGTH~_~_ WIDTH <br /> <br />6. ts the proposed structure located within,a flood plain? Y __ N <br /> <br />7. Will the proposed structure have ~ny of the'following systems./ If yes- separate permits are required. <br /> Electrical Y N / Plumbing Y N l,/ Heating/Cooling/Ventilation Y N i,/Septic Y <br /> <br />8. Where will restroom JaciJities be provided? <br /> <br />9. What is the maximum number o1' people present in the buildin, g at any one time duringthe year? <br /> <br />10. Is this structure used by the public at any time? Y__ N <br /> Explain <br /> <br />HEIGHT /a3/~ AREA <br /> <br />NU," <br /> <br />11. What is the distance from the proposed structure to property lines and/or other structures? <br /> Front jt.~! Rear ~l/~ I Let~t side/~_ 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."l agree to comply with <br />all state laws and coun~ordi,3ances relating to building construction. <br /> <br />NATURE ' NAME (Please Print~ <br /> DATE ST~EET~DDRESS <br /> <br /> PHONE CITY STAT~IP CODE <br /> <br />MC15-76-REV 7/97 FOR OFFICE USE ONLY <br />APPROVED DENI ED DATE <br /> <br /> <br />