HomeMy WebLinkAboutHS202100002 Approval - County 2022-06-03'n_
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GIS Web I Albemarle County, VA
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https://gisweb.albemarle.org/gpv_5lNiewer.aspx
1/22/2021
Albemarle County
Short -Term Rental Registry t1 Community Rd. opmentng 401 McIntire Rd. North Wi
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j�;�' Charlottesville, VA 22902
Annual Application Phone 434.296.5832
�i_ www.albemarleorg
Prior to opening for business, all operators of short-term rentals (inclycling and previously approved bed and breakfasts and
accessory tourist lodging rentals) must:
• Enroll on the Short -Term Rentals Registry with this form ! .. )N
• Obtain an approved (requires VDH and bUdil IV&f _iefetjAfijbjTion)
• Register for a c� PcAnnually following the initia I approvals, all operators of short-term rentals must:
• Renew their enrollment on the registry with this form
• Pass a
• Renewtheir
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):
Lv�. L III
'ADDRESS:
(S 1 1 IVA I
I
'CITY,STATE,ZIP.
hew 1o4 ko5vi 141J/n aao)oa--
TAX MAP PARCEL (IF KNOWN):
ZONING (IF KNOWN):
_
R 5a il`cres
GUESTBEDROOMS:
WHOLE HOUSE RENTAL:
DYES END
2. Property Owner/Operator Information
'NAME:
�Q{ (Ak- I- is (
Ili s
'HOMEADDRESS:
1 I , 1 �i
'CITY, STATE, ZIP:
PHONE:
531-LII-I(1(/
I EMAIL
+146 em ,.Y" /rl(rl.l l , com
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3. Responsible Agent Information
The responsible agent must be available within 30 a 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/OPERATORISRESPONSIBLEAGENT: I
EYES DNO IF NO,COMPLETE RESPONSIBLE AGENT INFORMATION BELOW
NAME:
HOMEADDRESS:
CITY,STATE,ZIP:
PHONE:
EMAIL
FOR OFFICE USE ONLY� Date Pakl: -aiAl
Fee Amt: 0$27 12$0 with clearance application Ck 9:
Receipt S: Received by:
www.albemarle.org/homestays
Accepted ( ❑,�Dr-e�nired`
Reviewed by, 1 ,
Registration Date:_2-_J_IQ/__Z1
v. 9.17201 Page 1 of 1