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HomeMy WebLinkAboutHS202100015 Application 7022-05-26 �°F^�\ Albemarle County Z • . 7 9 Community Development Short-Term Rental Registry ��L® � 401lottesree,VA2 902 _ ,/ Charlottesville,VA 22902 Annual Application Phone434.296.5832 r1kciN\e' www.albemarle.org 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 fire safety inspection • Renew their business license and remit required taxes Fields marked with an*asterisk are the minimum required for registration. 1.Short-Term Rental Information A whole 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. 1;\,p1;c>�c;m� vh.. - e'r *APPROVED HOMESTAY(HS),BED AND BREAKFAST(BNB),OR ACCESSORY 1T��DL ©®O TOURIST LODGING(ATL)CLEARANCE PERMIT NUMBER(IF APPLICABLE): f ^I LGGG1JJJ *ADDRESS: 13 5h 7 4€-TL 4•S /" ' I I �OQC/� *CITY,STATE,ZIP: C r6 V A 2 24 3 2 TAX MAP PARCEL(IF KNOWN): . 3615 ZONING(IF KNOWN): GUEST BEDROOMS: one Certtad;Q 4pr{.yvien�� WHOLE HOUSE RENTAL: ElYES IDNO 2.Property Owner/Operator Information *NAME: ►Iey_0 l `^'y �+k�V� 1/�11r V\e 'R°c h{ey *HOME ADDRESS: 2q '� ��( I4 -4-is M3'I I 'Oac\ l "CITY,STATE,ZIP: ! 'r aet 2 aq 3 Z PHONE: 703 '0107'a3 IZ EMAIL: (�I Q_(owl arc( r j4 i rley. 3.Responsible Agent Information The responsible agent must be available within 30 miles of the homestay at all times during a homestay use,and must respond and attempt in good faith to resolve any complaints within 60 minutes of being contacted. OWNER/OPERATOR IS RESPONSIBLE AGENT: LRyES ❑NO IF NO,COMPLETE RESPONSIBLE AGENT INFORMATION BELOW NAME: IA\eXG>1ciNa / &1hey Bb rio / HOME ADDRESS: -G/� ��L e�`� M I 'I roar 1 ����11 ll 7711 `''\ CITY,STATE,ZIP: Cro.,eA- ' A 22'32 PHONE: It)3.!c?f� 1)(f, a �2_ EMAIL: a)eyia ("("A. t N1 Y` Qy .t FOR OFFICE USE ONLY (� Date Paidc/ t7/Z2 cepted 0 Denied Fee Amt: 8$27 n r❑'$0 with clearance application Ck#: CA(Sol Reviewed by: Receipt#: [1461 u y Received by: dJ\15 Registration Date: www.albemarle.org/homestays v.9.17.20 I Page 1 of 1