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Agricultural or Forestry Building Exemption Certificate , )) <br /> Equine Facility Exemption Certification �1 <br /> Marion County Public Works—Building InspectionDivisi fir►'U. _JJ <br /> Car�onl 5155 Silverton Rd.NE, Salem Oregon 97305 JUN 12 2018 <br /> Phone:(503)588-5147 Fax: (503)588-7948 Email:building@co.mari oR, <br /> 4 , .r IIJ CCU�v I"Y <br /> OREGON _3UILUING INSPECTION <br /> Owner/applicant name: Sullenger, Dan & Sheila Phone: 503-559-5975 Fax: <br /> Mailing address: 6090 Juniper St Ne City/State: SalemZip: 97305 <br /> Job site address: 6090 Juniper St Ne Cit},: Salem Zip: 97305 <br /> Directions to the site: Drive to the end of Juniper St Ne <br /> Proposed Building Information <br /> App � i <br /> 1. Site plan is attached(required): eYes o No U <br /> 2. Type of Exemption: e Agricultural Building o Forestry Building o Equine Facility(provide information below): <br /> o Total number of stalls or equivalent number of horses: <br /> o Total number of stalls or equivalent number of horses limited to personal use only: <br /> o Total number of stalls or equivalent number of horses anticipated to be used for commercial or trade purposes <br /> inc. boarding,training,rental,haul-in,clinics,shows, etc.(consider future plans): <br /> 3. Is the use of the structure or the items within it used for any business or commercial activities? oYes e No <br /> If yes,please explain: <br /> 4. Describe use of the building and items contained within: Farm Equipment & Hay Storage <br /> 5. Is the property in farm or forest deferral? eYes o No <br /> 6. Is the proposed structure located within a floodplain? oYes e No <br /> 7. Will the proposed structure have any of the following systems?(If yes,separate permits are required for each system): <br /> Plumbing oYes No If plumbing will be installed,what type of fixture(s)? <br /> Electrical oYes e No <br /> Septic oYes Ikr No <br /> Heating/Cooling/Ventilation/Mechanical oYes No <br /> 8. Will this structure be used by the public at any time? oYes to No <br /> 9. What is the proposed maximum number of people(including employees,owners,etc.)that will be present in the <br /> building at any one time? 4 <br /> 10. Where will restroom facilities be provided? Inside the house <br /> 11. Is the proposed structure a manufactured home? oYes e No <br /> "12. Building Data:Length: 96 Width: 60 Area: 5760Height: �8 <br /> 13. Parcel Information: Parcel Size: 20 Parcel No.:Q 7a(,�fQLI ffdO�O� Zone: Ffi/k_ <br /> Page 1 of 5 <br />