HomeMy WebLinkAboutHS202100004 Application 2021-02-17 (2)vim•, Albemarle County
4� Community Development
Homestay 401 McIntire Rd., North Wing
;` e r Charlottesville, VA 22902
Zoning Clearance t/Ma��' Phone 434.296.58321 Fax 434,972.4126
FOR OFFICE USE ONLY Ns# 'aym—
Fee Amt: $158 Date Pai
d:
'�' ) �-i I a\ By; \ '( \�R-W. S
Receipt #: \ '3iaz l O Clot \ i 3� By: lok
1. Applicant/Owner Information
NAME: I Clare McGovern Lewis
E-MAILADDRESS: daremcgovemlewis@gmail.com PHONe 434-996-8325
MAILINGADDRESS: 6228 Buffalo River Rd., Eadysville, VA 22936
2. Homestay Information
TAX MAP(ORADD ESS,ND IF UNKNOEL WN):
(ORADDRE55, IF UNKNOWN):
1000000000700 / 6228 Buffalo River Rd., Earl svllle, VA 22936
Y
ZONING:
ACREAGE:
HOMESTAY NAME:
Rural Areas 5+ Acres
258.53
Beaulieu
RESPONSIBLE AGENT NAME:
Clare McGovern Lewis SAME AS ABOVE (OWNER)
RESPONSIBLE AGENT EMAIL
daremcgovernlewis@gmail.com
RESPONSIBLE AGENT PHONE'.
434-996-8325
RESPONSIBLE AGENT ADDRESS:
6228 Buffalo River Rd., Earlysville, VA 22936
3. Verification of Requirements
NUMBER OF GUEST BEDROOMS:
USING ACCESSORY STRUCTURES?
2 FORMS PROOF OF RESIDENCY PROVIDED?
FLOOR PLAN SKETCH PROVIDED?
7
YESFe • NO
YES Fe r NO
YES y NO
PARKING REQUIRED:
TOTAL HOMESTAY USES ON PARCEL
D ling 2
Numb rofGue Rooms +7
TOW Off-street PaAjng 75
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 OWNER/APPLICANT:
DATE:
2/2/2021
PRINT NAME: VDAYTIME PHONE NUMBER:
Clare McGovern Lewis 434-996-8325
Zoning Official:_
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 MCI NTIRE ROAD, CHARLOTTESVILLE, VA 22902
www.albemarte.org/homestays v. 3MAX29 i Paje 5 of 23
2/2/2021
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2/2/2021
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M
Master Bedroom
606.01 sq It
■
Closet ;
72s4 sq 8 ■
Bathroom
119. 19 sq 8
Bedroom
169 71 W 8
Bedroom
19872 sq8
Master
Bathroom
2M 54 sq 11
Bathroom
20 89 sq It
Laundry Room
5 41 sq It
Bedroom
133.39 sq It
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