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1 . \I Its- 11-... cEw-E -, <br /> AP <br /> d e, 1._. <br /> :' a,. Agricultural or Forestry Building Exemption CertifcationhUN 04 2O� J <br /> _ �. Equine Facility Exemption Certification <br /> Marion.County Public Works-Building Inspection v t Ric-)N ^JTy <br /> Marion �l �iP�d( dd�Sd' <br /> County 5155 Silverton Rd.NE,Salem Oregon 97305 LCTd®[� <br /> Phone: (503)588-5147 Fax:(503)588-7948 Email:buildingco.marion.br.us <br /> OREGON / <br /> Owner/applicant name: !% S Q al e ( L C.._ Phone: O 3 S 7g tge ax: �`1'/7-C?CI-D <br /> 20 0 <br /> Mailingaddress: 61' Sr_ Gee- City/State: ' eft6N /� __17_(32_` <br /> ti "l i DANt J zip: <br /> < < t , <br /> Job site address: City: Zip: <br /> Directions to the site: V)d(4 ti O v1 V f''5 h C(ct(4 V ' .A f 1u 1'-f) IAL4 icd (ow. (I,AI/4") <br /> Proposed Building Information <br /> 1. Site plan is attached (required): Ycs o No <br /> 2. Type of Exemption: gricultural Building o Forestry Building ' e Facility(prode yformation below): <br /> o Total number of stalls or equivalent number of horses: di-(7e_< 2 <br /> o Total number of stalls or equivalent number of horses limited t rsonal use only: Z- rk-.9...,e ss <br /> o Total number of stalls or equivalent number of horses anticipated to be used for comm9rcial or trad pu seg <br /> inc.boarding,training,rental,haul-in,clinics,shows,etc. (consider future plans): 544c-1�',(' ( <br /> 3. Is the use of the structure or the items within it used for any business or commercial activities? oYes k-No <br /> If yes,please explain: A7 <br /> 4. Describe use of the building and items contained within: E 9 ;(i""4 E (.C: 11"4-y S fe,r..it 4 G(h <br /> 5. Is the property ii or forest deferral? k'S'es o No <br /> 6. Is the proposed structure located within a floodplain? pYes kNo <br /> 7. Will the proposed structure have any of the following systems?(If yes,separate permits are required for each system): <br /> Plumbing oYes 124 If plumbing will be installed,what type of fixture(s)? <br /> Electrical Ws o No ✓ I'1114 5 <br /> Septic oYes T Jo elloc7 ,":4/ 0744iJ /e. <br /> rJr,.,,// <br /> Heating/Cooling/Ventilation/Mechanical oYes o <br /> 8. Will this structure be used by the public at anytime? ❑Yes. a <br /> 9. What is th¢proposed maximum number of people(including employees,owners,etc.)that will be present in the <br /> building at any one time? 1 rr <br /> 10. Where will restroom facilities be provided? 0 ut f Cto 9 J1'S cvLt h�f"e-44 _ <br /> r <br /> l I. Is the proposed structure a manufactured home? oYes f No / <br /> 12. Building Data: Length: (ov Width: "6 Area:reZ ( 6 4 Height: <br /> 13. Parcel Information: Parcel Size: (3 ekaes Parcel No.: ( 6?? c., Zone: t <br /> Page 1 c/5 <br />