HomeMy WebLinkAboutHS201900031 Application 2020-12-11•
Short-Term Rental Registry
Albemarle County
401Md,"Rd. Mrth
Annual Application
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Charlottesville. VA 229D2
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Phone 434196.5832
www.albemarleorg
Prior to opening for business, all operators of short-term rentals (including hQmestaYs and previously approved bed and breakfastsand
accessory tourist lodging rentals) must:
• Register with this form
• Obtain an approved zonine clearance (requires VDH and building/fire safety inspection)
• Register for a business license
Annually following the initial approvals, all operators of short-term rentals must:
• Renew their registration with this form
• Pass a fire safety inspection
• Renew their business license and remit tax es
1. Short Term Rental Information
A whole house amillis 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(HIS), BED AND BREAKFAST IBNB). OR ACCESSORY
TOURIST LODGING (ATLI CLEARANCE PERMIT NUMBER BF APPLICABLE):
STREETADDREss: 4645 Buddys Place Ln
CM.STATE,ZIP: I Eadysville, VA 22936
TAX MAP pARCEI"I KNOWNI; 30-4
GUESTBEDROOMs: 3
2. Property Owner/Operator Information
NAME:
Nathan Williamson
HOMEADDRESS:
4645 Buddys Place Ln
CNYS ATE,ZIP:
Earlysville, VA 22936
PHONE:
434 960 4541
EMAIL
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ZONING(IF KNOWN): RA
WHOLEHOUSE RENTAL IllyES ❑NO
nathan C&explorationstudio.com
3. Responsible Agent Information
resolve�ycompla1nismwlthIne available L&beem c ahomestaed.yat all times during homestay use, and must respond
and attempt in good faith to
OWNER/OPERATOR IS RESPONSIBLE AGENT: AYES EYNO
NAME Ryan vVilham50n
IF NO, COMPLETE RESPONSIBLEAGENTINFORMATIONBELOW
HOMEADDRESS: 4646 Buddys Place
CITY STATE.ZIP: Earlysville, VA 22936
PHONE: 434 960 2853 EMAIL
IkC& ahoo.co
FOR OFFICE USE ONLY Date Pal&
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8 w hd-1M1-apPlication Df27 ,
CCepted D led
Receipt %: Recelved by:
Reviewed by:
Registration Date:
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