HomeMy WebLinkAboutHS202100038 Approval - County 2021-09-30Homestay
Zoning Clearance Application
Albemarle County
I Community Development
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Application fee: S173.76
Submit this completed application with the followingonwis or to the address above: "w•_Vl
1. Floor plan/property sketch with labeled structures used for the homestay, guest bedrooms. owner's bedroom. ondoor,igh6ng
and signage for the homestay. labeled setbacks. and parking (minimum 2 * 1 spoUguest bedroom).
2. Copies of two forms of verification of residency lone government issued with photo ID -one listing the address acceptableforms
include driver's license, voter registration card. U.S. passport, others as approved by the Zoning Administrarorl
1. Homestay Information
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2. Property Owner/Operator Information
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3. Responsible Agent Information
The respons t,kagent mat beavallablewithin 30mles of the homeftnyutail rinks dunnaa hornestoy osr, andmus(r1pordand W11M1 ingots fortk to
resoteeamyrnmplorn(s within 60mhmlesafbemiliMfocted.
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4. Signature
i I hereby apply for approval to conduct the homestay identified above, and certify that this address is my legal residence, and that l own
the property or that I have recieved a special exception to operate the homestay as a resident manager, I also certify that I have read the
I restrictions on home•tays, thaqu sa them,and that l will abide by them.
_'C__`I.AAP ROVED
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