HomeMy WebLinkAboutHS202100005 Application 2021-02-23Homestay
Zoning Clearance
FOR OFFICE USE ONLY
Fee Amt: $158
Receipt #:
1. Applicant/Owner Information
Date Paid: 'A ( ( y
Ck# —
lip
Albemarle County
Community Development
401 McIntire Rd., North Wing
Charlottesville, VA 22902
Phone 434.296.58321 Fax 434.972.4126
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NAME:
Melanie Dorion
MAanoDREss:
melanie@bevitalhealth.com
I PHONE:
434-960-0214
MAILING ADDRESS:
107 Towler place Charlottesville, VA 22902 j
2. Homestay Information
TAX MAP AND
ADDRESS, UNKNOEL WN),
(OR ADDRESS, IF UNKNOW Nl:
107 Towler lace Charlottesville, VA 22902
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ZONING:
ACREAGE:
HOMESTAY NAME:
residential
0.176 acres (7680 sq ft)
107 BnB
RESPONSIBLE AGENT NAME:
Blue Ridge B&B/Matt Marlene SAME AS ABOVE iOWNERI
RESPONSIBLE AGENT EMAIL:
bluerldgebnb.va@gmall.com
RESPONSIBLE AGENT PHONE:
440-813-3377
RESPONSIBLE AGENT ADDRESS
812 North Ave, Charlottesville, VA 22902
3. Verification of Requirements
NUMBER OF GUEST BEDROOMS:
USING ACCESSORY STRUCTURES?
2 FORMS PROOo OF RESIDENCY
PROVIDED?
FLOOR PLAN SKETCH PROVIDED?
.1
tESL NO i�/
YES l+ l
No I
)E5 Y r;o
PARKING REQUIRED
TOTAL HOMESTAY USES ON PARCEL
Dwelling
2
Number dGuest Rooms
+1
1
Total OH -street Parking
IE
4. Applicant Signature
I hereby apply for approval to conduct the homestay identified above, and certify that this address is my legal residence. I also certify that I have
read the restrictions on homestays, that I understand them, and that I will abide by them.
SIGNATURE OF OWN E R/APPLICANT:
DATE:
o...i1
2/15/2021
PRINT NAME:
DAYTIME PHONE NUMBER:
Melanie Dorion
434-960-0214
VDH Approval Date:
Conditions:
Approved ❑
Building Official Approval Date:
Approved with Conditions ❑
Fire Marshal Approval Date:
Denied ❑
SUBMIT THIS PAGE, YOUR SKETCH, YOUR VDH APPROVAL (IF REQUIRED) , AND YOUR $158 APPLICATION
FEE TO COMMUNITY DEVELOPMENT, 401 MCINTIRE ROAD, CHARLOTTESVILLE, VA 22902
www.albemarte.org/homestays v. 30.lF AX201 Page 6 of 13