HomeMy WebLinkAboutHS201900032 Application 2022-01-10 December 10, 2021 Page 3
Nbemarle County
Z Short-Term Rental Registry - n 04ve I'
` r- '`'^-'.• Cha4onesrillu.VA22902
Annual Application `�•- Phone 434 296,5832
ewer...46446N*ors
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:
• Enroll on the Short-Term Rentals Registry with this form
• Obtain an approved zoning clearance(requires VDH and building/fire safety inspection)
• Register for a 1)4.15i_ness license andlgotj required[axes
Annually following the init iat approvals,all operators of short-term rentals must:
• Renew their enrollment on the registry with this form
• Pass a ltccsafety tnsrL'ctiort
• Renew their business license and remit reeuired taxes
K?'r s.ied rwiih a i'.reear-sik ate the rnimmuin.ecm.rtd tor res.sinatMh.
1.Short-Term Rental Information
A us hoirti,Ise twice!is a short trim ten sal of a home during which the owner is not required to be present Whole house rentals xe only permitted on Rural
Area excels or 5+xres-
'APPROVED HOME STAY(Mist,BE D AND BREAKFAST 034•481-,OR ACCESSORY
Kunst 1OOGING CATUCLIARANL E R't R.Mi T NUMBER OF APPLICABLE):
'ADDRESS ��.^� ����� ( Lr e 1�- ivi CZO
YITY,STATE..ZiP_ f
{TAIL NEAP PARCEL Elf 1414o1N1* •aMN
' �
Gasteconooms: [ ` _.- Ira II I
trl01
,V�(/RENTAL ' " Cth[I
2.Property Owner/Operator Intiorwalltlon
*NAME
`MOW ", `I
NIE �A(Lt/Pto lam- Cek Aft.
YIT'.STATE,LP r v 7 TIC(ii 3
mow. ---_ l,t?, , its$$ t rovtwE- 6) . . u.4
3.Responsible Agent Information
The responsible gent must be av i dable within a0 stiles of the homestay at all times during a hoenestiy use,and must respond and attempt in good faith to
resolve any complaints within Doirtutesof bong contacted.
ow YEI mama is Ri:SPCM$I=AGENT; I p SP NO IF NO COMPLE YE RE AGENT INFORMATION BELOW
NAME. A,
NONE ADDRESS: svQ i e 9 itocciA1- _...,
MUTATE.DP: cod � , yV li el
PHONE: ./ r t 4$ $S Emit: I a fa_..t.-.._.A-
4-,Je B& ' cam.c/y/ —
ft�ltOF ICE USE ONLY o�e�,1e!AA 0 Accepted 0 Denied
fee Amu. S27 D So methdearance von, Ckt(9a - Rer�ewxA by.
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