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State State State Signature: Print Name: Property Identification Number Submit Application Options: 1. Email - [EMAIL REDACTED] (Save Application - Attach Application - Email Application) 2. Fax 3. Mail 4. Walk-In PURPOSE OF STRUCTURE Date PROPERTY INFORMATION - OWNER - (Required) Address City Zip Code Email Address Applicant / Owner Phone # Cell # I hereby certify that the building for which an agricultural exemption is being sought pursuant to the state construction code (Public Act 230) is only going to be used for the following agricultural purposes. The following is the definition of agricultural or agricultural purposes. Means of, or pertaining to, or connected with, or engaged in agriculture or tillage which is characterized by the act or business of cultivating or using land and soil for the production of crops for the use by animals or humans, and includes, but is not limited to, purposes related to agriculture, farming, dairying, pasturage, horticulture, floriculture, viticulture, and animal and pourlty husbandry. AGRICULTURAL EXEMPTION CERTIFICATON I understand if this building is used for any other purpose it will require a change of use permit, current building permit and will need to be brought into compliance with all other codes in effect at the time of (and for) the change of use. Note: Electrical, Mechanical, Plumbing work must be permitted. I HAVE READ AND UNDERSTAND THE ABOVE Email Address Address City Zip Code Cell # Application - Agriculture Exemption Otsego County Land Use Services Department Phone: [PHONE REDACTED] 1322 Hayes Road, Gaylord MI 49735 Fax: [PHONE REDACTED] www.otsegocountymi.gov PROPERTY INFORMATION (Required) APPLICANT INFORMATION - (Required) Address City Zip Code Owner Phone # DEFINITION OF AGRICULTURAL OR AGRICULTURAL PURPOSES: SIGN