HomeMy WebLinkAboutHS202100019 Approval - County 2021-10-13Atbemalrtal County
Homestay w�,,� ApMOV° `S ComminityDevelopment
(� Atom" County _ 4 401 McIntire Rd., North wing
Charlottesville. VA 22902
Zoning Clearance AQ� SReve10m*nt spa Phone Phone 434.296.5d321 Fax 434.9724126
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FM Application fee: 3173.76
Submit this completed application with the following,, )kw. or to the address abm--* Aanlr.Nk-1119.lmh°ksSwdnv,$476-1�t�sw
1. Floor plan/property sketch with labeled structures used for the homestay, guest bedrooms, owner's bedroom, outdoor lighting
and signage for the homestay, labeled setbacks, and parking (minimum 2 + 1 spot/guest bedroom).
2. Copies of two forms of verification of residency (one government issued with photo ID + one listing the address - acceptable forms
include driver's license, voter registration card, U.S. passport, others as approved by the Zoning Administrator)
1. Homestay Information
Residentially zoned and mral area parcels of less than Sacra may hove 2glnest bedrooms byrighL the of aaessolystructures (if built before August 7, 2019) is
only permitted by -tight on rural area po :els of 5+ arm. Whole house rental is only Winitted on rural area parcels of 5+acres.
ADDRESS:
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CII Y, STAI E. ZIP.
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TAX MAP PARCCL (if KNOWNI:
ZONING RF KNOWN):
ADVERUSED NAME OF HOME STAY (IF APPI ICAHLEI:
�IQ 13NO
ACREAGE Of PARCI. I:
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NO. Of GDE51 6EDROOMS:
USING M1CCESSORY STRU(. BURLS?
❑ YCS In NO
wl lot C I IOUs[ REN [Al
O vi s ® NO
2. Property Owner/Operator Information
NAME: I U C 'S 1 L n t,•
HOME AOORESS. I ;/ 3o Arnb e f2 rL l 1% t R-ol
CITY,STAIi ZIP C a(Z. LOTRSVl Ulf�� l I
PHONE hUM ILE: --2 2--b-12`' EMAIL CI CiYE Sr(}f')gpl`�`(�j fij
3. Responsible Agent Information
The responsible agent must be available within 30 mires of the homestay at all times during homestay use. aridmust respond and attempt in good faith to
resolve any complaints within 60 minutes of being contacted.
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4. Signature
I hereby apply for approval to conduct the homestay identified above, and certify that this address is my legal residence, and that I 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
restrictions on homestays, that I understand them, and that I will abide by them.
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