Loading...
HomeMy WebLinkAboutHS201900027 Permit 2021-10-11E Short -Term Rental Registry Annual Application October 1, 2021 Page 3 � c..m••a Or.•1rpwlet 401 M tt.."NM1haa1r Prior toopenilgfor busines& all operators of short-term rentals(including fwmest.ni and previouslpapproaedbedand brealdasls and accessorytourist lodging rentals) mint: • Enroll on the Short -Tam Rentals Registry with this form • Obtain an approved zonineclearance(requiies VDH and buildirgNve safety inspection) • Register for a husinesal&tnsc2adrem_kE en .ired tates Annually folbwi g the initial approvak all operators of short-term rentals musk • Renew their eorollment on the registry with this form • Passafiresaftty in=nect_en • Renew their buSiiness licen•.c and remit reouired taxes fetlsl•NA W w,N rA•planE xe u* m.ru'num reps W Na, tpalrrt. 1. Short -Term Rental Information AAfnplr isasnat tmmrental of ah=e duRgwhich theoAner item re*Amd tote present. Whok roust rereas xe eNypennitted on Ru a: Area a • arras 10 *T LOOG"tt�;ICtEEARANCEKwIWrSMFPF AAi%ACI4B ... 145 a0 tgoo©a7 'ADDRESS. 'COW.STATL-ZIP �1 Q� 1, eSvi d VA aa9 00 - IAa MAPPAACEL(r RrNOY ; MA 0�13 1�arc, >' iaaNWO OF KKVWtl GOESTBEDROOMS !L WHOLENOtISEUNTAL I )(YES ONO 2. Property Owner/Operator Information .NAME ation 1101.E AOfMM aaq 'ltgL. 1111AIE-11 Gt �J e7s/ C't I J_e a ag oa "$OAE 'I.J-1 7G0- 9(v ICE- EMAIL CaP,00,V13rKNB6&MR1t- 60/ j r 3. Responsible Agent Information Theropvubie�a�errww must Oeav 'table saitnusmind hwnestaE ataatgnesARYEahoRastaruse.and muss resppdand aUMptin gpadla;nn to resoleanr rantnrntsas min ' gggof lcmgcmtactie. AGENT. I'(YES ONO of NO.COMPLETERESPONNsu ACENrrv10RVATIO4OLtOW NAME IIOMEADDRESS: CnP.STATE.Lf! PHONE, rORoIPPICErSIONRY OMevrs:j(L1L/ 0Accepted 0Denied fa•A.A: }isn OfowArtwmaPPRtcEe __. p�}_ rely Re wWsr •pe:lP.ii4lpi�i�m�nSR9o_G�R.w...br.w. _+`--- RrfnNalenDx•:�/�/� wwwaiAm.xu aewaneaMrs ..9.v30IPye1a2