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HomeMy WebLinkAboutHS202100008 Application 2021-03-18 (2)Short -Term Rental Registry
Annual Application
Albemarle County
Community Development
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401 McIntire Rd. North Wing
Charlottesville, VA 22902
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Phone 434.296.5832
www.albemarle.org
Prior to opening for business, all operators of short-term rentals (including homestays and previously approved bed and breakfasts and
accessory tourist lodging rentals) must:
• Enroll on the Short -Term Rentals Registry with this form
• Obtain an approved zoning clearance (requires VDH and building/fire safety inspection)
• Register for a business license and rem it reguired taxes
Annually following the initial approvals, all operators of short-term rentals must:
• Renew their enrollment on the registry with this form
• Pass a fire safety inspection
• Renew their business license and remit recuired taxes
Fields marked with an *asterisk are the minimum required for registration
1. Short -Term Rental Information
A whole house rental 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(HS), BED AND BREAKFAST( BNB), OR ACCESSORY
TOURIST LODGING (ATL) CLEARANCE PERMIT NUMBER (IF APPLICABLE):
'ADDRESS:
'CITY, STATE, ZIP.
1,1A /J 3
TAX MAP PARCEL (IF KNOWN):
ZONING (IF KNOWN):
GUESTBEDROOMS:
/
WHOLE HOUSE RENTAL:
OYESO
2. Property Owner/Operator Information
'NAME:
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'HOME ADDRESS:
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'CITY, STATE, ZIP:
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PHONE:
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EMAIL:
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3. Responsible Agent Information
The responsible agent must be available within 30 mile; of the homestay at all times during a homestay use, and must respond and attempt in good faith to
resolve any complaints within 60 minutes of being contacted.
OWNER/OPERATORIS RESPONSIBLE AGENT:
yEs ONO IF NO, COMPLETE RESPONSIBLE AGENT INFORMATION BELOW
NAME:
HOMEADDRESS:
CITY, STATE, ZIP:
PHONE:
EMAIL:
FOR OFFICE USEONLY
Date Paid:
Fee Amt 0$27 42(W with clearance application Ck#:
Receipt#:
Received by:
❑ Accepted ❑ Denied
Reviewed by:
Registration Date: ___/ .. J_
www.albemade.org/homestays v. 9.17.201 Page 1 of 1