HomeMy WebLinkAboutHS202100015 Application 2021-04-22 (2)o+ +<
.�: aea Albemarle County
• Community Development
Short -Term Rental Registry :1: Charlottesville,
McIntire Rd. VA 229 Wing
Charlottesville, VA 22902
Annual Application . ; Phone 434.296.5832
rAf.IM1+ 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:
• Register with this form
• Obtain an approved zoning clearance(requires VDHand building/fire safety inspection)
• Register for a business license and remit required taxes
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 required taxes
Fields marked with an *asterisk are the minimum required for registration.
1. Short Term Rental Information
whole house rentalis a short term rental of a home during which the owner is not required to be present. Whole house rentalsare only permitted on
Rural Area parcels of 5+acres.
'APPROVED HOMESTAY (HS), BEDAND BREAKFAST (BNB), OR ACCESSORY
TOURIST LODGING(ATy CLEARANCE PERMIT NUMBER (IF APPLICABLE):
_
'ADDRESS:
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C. f 17
'CITV,STATE, ZIP:
ZZQ 32
TAX MAP PARCEL (IF KNOWN): I
ZONING (IF KNOWN):
GUESTBEDROOMS:
Q�O� CS•�uld.lb •PtVy
WHOLE HOUSE RENTAL:
OYES ONO
2. Property Owner/Operator Information
'NAME:
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'HOMEADDRESS:
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I'S f{t5 Mill
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'CITY, STATE, ZIP:
G e* `V -22TS2
PHONE:
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EMAIL
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3. Responsible Agent Information
Theresponsib/eagent must be available within 30 miles 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/OPERATOR IS RESPONSIBLE AGENT:
VES ❑NO IF NO, COMPLETE RESPONSIBLE AGENT INFORMATION BELOW
NAME:
a7, i t vAe
\ '
HOME ADDRESS:
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CITY,STATE,ZIP:
�1' 2zct32-
PHONE:
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EMAIL:
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FOR OFFICE USEONLY
Fee Amt: 0$2277 @$Owith clearance application
Receiptff:
Ck R: �V
Received by:
❑ Accepted ❑ Denied
Reviewed by:
Registration Date:..
www.albemarle.org/homestays V. 9.17.201 Page 1 of 1