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HS202200025 Permit 2022-05-31
����.'yy(( ��''(y `• ?.��°�eiyF, Albemarle County Short -Term Rental Registry `r 'I Community Development 1 �„ 401 McIntire Rd. North Wing _ Charlottesville, VA 22902 Annual Application + Phone434.296.5832 YY xci�s� 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 VDHand 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 firg safety inspection • Renew their business license nd 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. 'APPROVED HOMESTAY (HS), BED AND BREAKFAST (BNB), OR ACCESSORY TOURIST LODGING (ATLI CLEARANCE PERMIT NUMBER (IF APPLICABLE 'ADDRESS: 'CITY,STATE,ZIP: 22 TAX MAP PARCEL (IF KNOWN)!N): 70-52C ZONING(IFKNOW RA GUESTBEDROOMS: W ,/ WHOLE HOUSE RENTAL: YES ONO 2. Property Owner/Operator Information i 'NAME: 'HOMEADDRESS: 'CITY. STATE, ZIP. ... ,.... 4 '"✓ y: OW PHONE: 1.7.� t� R 2 '20) y�^©ter EMAIL: 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 RESPONSISIBLE AG ENT: ❑YES XNO IF NO, COMPLETE RESPONSIBLE AGENT INFORMATION BELOW NAME: HOMEADDRESS: - 10 CITY,STATE,ZIP: �j ®► �(i/ �60. y,r PHONE: , f� EMAIL: IYg7[iTY�Cr1�rFi�i7`�LTCI Date Paid: -__/__/_ Fee Amt: 11$27 It$0 with clearance application Ck#: Receipt#: Received )bAccepted ❑Denied Reviewed by: Lea Brumfield Registration Date: J31j 22 www.albemarle.org/homestays v. 9.17.201 Page 1 of 1