HomeMy WebLinkAboutHS202000002 Approval - County 2020-10-09 (2)Albemarle County
•
Short -Term Rental Registry
\
9
Community Development
�^
01MrinureRdNGm"'w'
tesvdlu VA
Annual Application
%
Phan
PI,°ne=<29G.5SB2
5832
�+r, <�ii+;�
wtvw.albemarle org
Prior to opening for business, all operators of short-term rentals (including 14q1_stays and previously approved bed and breakfasts and
accessory tourist lodging rentals) must:
• Register with this form
• Obtain an approved zonin, clearance (requires VDH and building/fire safety inspection)
• Register forat3tlsinrs lcr:ire
Annually following the initial approvals, all operators of short-term rentals must:
• Renew their registration with this form
• Pass a fire safoty lnzjlecdon
• Renew their busirims license and_rerrittaxes
1. Short Term Rental Information
A uri nie houscrental is a short term rental of a home during which the owner is not required to be present. Whole house rentals are only permitted on
Rural Area parcels of 5- acres.
APPROVED HOMESTAY (-IS), BED AND BREAKFAST (RNB), OR ACCESSORY
TOURIST LODGING (ATL) CLEARANCE PERMIT NUMBER RF APPLICABLE).
STREETADDRESS: (fl I(a TX'i t.�..'� 5 ntl11.1i V0
CITY, STATE, ZIP:
TAY, MAP PARCEL fir KNOWN',. � �Q"1<ii..'_0 iY 11ZONING(IF XNOVJN} 1
GUESTnEOPOOMS. WHOLE HOUSE RENTAL I 6yyE5 0N0
2. Property Owner/Operator Information
NAME
IIOMEADDRESS A)EU-{1,, `�f�[/tj/tf?_
CIi �'. STATE.ZIP: 11'FrJ'Y� (1(�("�"1 ll /�lr 1 ', l V/t �/
PHONE- (.(Zt.j.. ��(T�_%._ ;EMAIL:
3. Responsible Agent Information
L,
The responsible a entmust be available within,?., lilSgof the homestay at all times during a homestay use, and must respond and attempt in good faith to
resolve any compialnts within ¢¢Sitaut@ of betog contacted.
OFlNERIOPERATORISRESPON5IBLEAGENT ®YES ONO Ir NO, COMPIETE RESPONSIBLE AGENT INFORMATION BELOW
........... .. __._._,_._.. ...__.__.._.._ ___..__ ...__.._.___..___._ — .--
AM E:
HON'IE ADDRESS: ..
ITY,STATE.ZIP .,.
-HONE:
FOR OFFICE EONLY Date Paid:
Fee AmC Sowith clearance application ❑S27 r ._
Receipt✓•: ___ Receiwdhy:
CrAccepted ❑ enied
Reviewedby,_, W __
Registration Date. r— r5 ow
v. 9,15.201 Page 1. of 1