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• C\ - DDa51 l Agricultural or Forestry Building Exemption Certification D IE©L 1]V L Equine Facility Exemption Certification Marion County Public Works-Building Inspection Division APR 0 9 2019 Marion 5155 Silverton Rd. I • •,:r." 'y 7305 � ' ' 1 j @ X ION COUNTY Phone: (503) 588-5147 Fax: (.1�1� � �3 � �f "� � 'g ,co.marion. OREGON II ' 11W T '-- SPECTION Owner/applicant name: .2 4-1 I)CLut Phone:fa? -2 oq_S�'E)Fax:6.2 -94 /- '9?.2- Mailing address: /6 Fs7 1 Haw, kJ 41,/ City/State:C9ci'u-t z9ie Zip: Q 70 7/ Job site address: S 4kV1 i City: _ _ Zip: Directions to the site: Proposed Building Information 1. Site plan is attached(required):,Yes ❑No 2. Type of ExemptionAgricultural Building o Forestry Building ❑Equine Facility(provide information below): o Total muni6er of stalls or equivalent number of horses: o Total number of stalls or equivalent number of horses limited to personal use only: o Total number of stalls or equivalent number of horses anticipated to be used for commercial or trade purposes inc.boarding,training,rental,haul-in, clinics,shows,etc. (consider future plans): 3. Is the use of the structure or the items within it used for any business or commercial activities? Ares o No If yes,please explain: 3:1 -e 4. Describe use of the building and items contained within: 54-or y e ` c,e Q! D eva Sl 5. Is the property in farm or forest deferral?Ces o No 6. Is the proposed structure located within a floodplain? oYes X/No 7. Will the proposed structure have any of the following systems?(If yes, separate permits are required for each system): Plumbing oYes peNo If plumbing will be installed,what type of fixture(s)? Electrical s ❑ No gd,/ 7.-041 � eV/)4., V/ r s %/S Septic oYes rt/No Heating/Cooling/Ventilation/Mechanical (fY s o No 8. Will this structure be used by the public at any time? oYes petslo 9. What is the proposed maximum number of people(including employees,owners,etc.)that will be present in the building at any one time? < / 0 10. Where will restroom facilities be provided? 11. Is the proposed structure a manufactured home? oYes )'No r 12. Building Data: Length: / d Width:d D -- / Area: Height: 13. Parcel Information: Parcel Size: Parcel No.: Zone: Page 1 of 5