HomeMy WebLinkAboutHO202200035 Application 2022-04-14 1-1 Ki)is wo• 0003
ary 11, 2022 Page 3
• � �/a�y Alblelarle County
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Z Short-Term Rental Registry ���` 7 a teswlle VA1z z°*
Annual Application +\::1�� "`� Phone 434 296.5832
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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 business license and remit required taxes
Annually following the initial approvals,all operators of short-term rentals must:
• Renew their enrollment on the registry with this form
• Pass a firesafety in'pertitan
• Renew their business license and remit required taxes
F eelds marked with an'asterisk are the mimmum required for registration.
1.Short-Term Rental Information
A whale house rental is a short term rental of a home during which the owner is not required to be present Whole house rentals are only permitted on Rural
Area parcels of 5.acres.
'APPROVED HOMESTAY(HS).BED AND BREAKFAST(BNB).OR ACCESSORY
TOURIST LODGING AD (ATL)CLEARAANC�\EPERMIT NUMBER(IF APPLI YCAABLLE):1
' DRESS: Z \ W rn I lt'�b y ( lO 1 `1. �. I'CITY.STATE.ZIP C Aar 1 O-k----eSV) t' C_ / V� 2,2-' ` '
TAX MAP PARCEL(IF KNOWN): ZONING(IF KNOWN):
GUEST BEDROOMS. 1 I
2 WHOLE HOUSE RENTAL. USES 0 NO
27 Property Owner/Operator Information
•NAME: YVta r k Co rr ac t h v
'HOME ADDRESS_ 7 LA 20yyvI no r Y1 1t Re4.
J'CITY.STATE.ZIP r I^Q r- `O tf s V 1 L I Y A I_
PHONE. 3 l t J- t b EMAIL rVICL r .6 -f 1 0 0 C o YV\.
Yo
3.Responsible Agent Information
Thetvportstble dent must be avaiiate within the homestay at all times during a homestay use.and must respond and attempt in good faith to
anvcomptaints within 60 minutes of be / I'(1
OWNERJOPERATORISRESPONSIBLE AGENT: 1ES ONO WNQCOMPLETERESPONSIBLE AGENT INFORMATION BELOW
NAME
HOME ADDRESS;
CITY.STATE,ZIP:
PHONE - EMAIL
FOR OFFICE USE ONLY Date Pa4d.3 .'I I 01., ccepted 0 Denied
Fee Amt 7 °Weft clearance applKation Ck r. 5.R9 g Reviewed
Receipt r. (a C4`1a Received by. Registration Date:
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