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y •. 41i'o ,... 4vripD � � D E ' WEAO tural or Forestry Building Exemption Certifica�t o <br />Ilir <br /> L. Equine Facility Exemption Certification ��--D02577� A-CTE <br /> Marion County Public Works—Building Inspection Division APR 0 9 2019 <br /> Marion 5155 Silverton Rd.NE, Salem Oregon 97305 <br /> County ne na�1 N CO JNTY <br /> Phone: (503) 588-5147 Fax: (503) 588-7948 Email:building@co. INSPECTION <br /> OREGON <br /> 51:1.3 <br /> Owner/applicant name: Kir►2ext. vE4M5.71mA14 I,C.CPhone: cry/ 4,7 (o`' Fax: <br /> Mailing address: 7 S5 3yLute._ w£. City/State: "51,[eiy> a 2 Zip: 973a5 <br /> Job site address: 47 5 5 3551' A&A. Nt. City:4/dwareigre— (a11Es, Zip: 473 <br /> Directions to the site: KICIZtr--lj4a� ., 1 0‘ .) j r 6 o GAAS� . d44+4A9— <br /> Proposed Building Information —•el)sr) -Ca)W <br /> 1. Site plan is attached(required): 'es o No <br /> 2. Type of Exemption: Agricultural Building n Forestry Building ❑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 VNo <br /> If yes,please explain: c aC,e55i,.)5 %4eMio <br /> 4. Describe use of the building and items contained within: i{trh p E$4r acki m•► pi-aces-x(4s 4...C4 <br /> Q nue,-,T <br /> 5. Is the property in farm or forest deferral? oYes A No <br /> 6. Is the proposed structure located within a floodplain? oYes /No <br /> 7. Will the proposed structure have any of the following systems?(If yes, separate permits are required for each system): <br /> 4-0577A/G. canineM 44 144444-4-11 ., <br /> Plumbing /zYes ❑No If plumbing will be installed,what type of fixture(s)? <br /> Electrical <br /> Yes n No ff_'/ / ; <br /> ni,t� /cam �i4'6/ /"/ at /1ie<✓ i, , <br /> Septic sYes o No V <br /> Heating/Cooling/Ventilation/Mechanical /6Yes ❑No <br /> 8. Will this structure be used by the public at any time? oYes/No <br /> 9. What is the proposed maximum number of people(including employees,owners,etc.)that will be present in the <br /> building at any one time? )1( 6 <br /> 10. Where will restroom facilities be provided? y-E.$ <br /> 11. Is the proposed structure a manufactured home? oYes $No <br /> 12. Building Data: Length: g ` <br /> 4 ,,Width: 150 �' Area: Height: <br /> 13. Parcel Information:Parcel Size: Parcel No.: Zone: <br /> Sed- MA-P <br /> Page 1 of 5 <br />