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HomeMy WebLinkAboutHS202000041 Approval - County 2022-06-13Homestay Zoning Clearance FOR OFFICE USE ONLY Fee Amt: $158 Receipt #: 1 - Applicant/Owner Information Date Ck# 1 0V v or r Albemarle County Community Development 401 McIntire Rd., North Wing Charlottesville, VA 22902 v Pei Phone 434.296.5832 1 Fax 434.972.4126 By: J1 NAME: (,ayx 10%J6 11144tv, nai'm E-MAILADDRESS:r'ih O mw%l. Go tr �3ar. 2�ak•yvt5 MAILINGADDRESS: V'%wk 0h )A.%% kh Gre7.O4• 4)v y1�g31 Hnnri Information TAX MAP AND PARCEL NUMBER ELN WN): (ORADDAND UNKNOWN). F'AYGO1 �1� 0'1 l 000000034c.s "Tax Map 1l'34c$ ZONING: ACREAGE: HOMESTAYNAME: rural y.5 orotec cArr�w . H-Msc RESPONSIBLE AGENT NAME: OOWCtt\ 3- ,%N Srgsfl's SAME AS ABOVE (OWNER) RESPONSIBLE AGENT EMAIL: gOyV Vn .t�.sfy\t'�,.Q tM�l, 1A An RESPONSIBLEAGENT PHONE: a {,., yy4, yy,�.5 RESPONSIBLE AGENT ADDRESS: pgVVe\jaN l•w Rvlobt, 4k 7-1)57. 3. Verification of Requirements NUMBER OF GUEST BEDROOMS: USING ACCESSORY STRUCTURES? 2 FORMS PROOF OF RESIDENCY PROVIDED? FLOOR PLAN SKETCH PROVIDED? 1 YES NO VFS NO 1 NO 5 FPARKINGEQUIRED: TOTAL HOMESFAY USES ON PARCEL 2 Number of Guest Rooms } 1 Total Off-street Parking © 1 4. Applicant Signature I hereby apply for approval to conduct the homestay identified above, and certify that this address is my legal residence. 1 also certify that 1 have read the restrictions on homestays, that I understand them, and that I will abide by them. DATE ;SIGNATURI.010 e Zoning Otticial:�.d VDH Approval Date: Conditions APPROVED by the Albemarle County Community Development Department Date -f •�>o Z l> Approved I(X Denied [ 1 A roved Approved with Conditions [ ] Fk Datei_— 1-`3o'7— r Building Official Approval Date: Fire Marshal Approval Date: SUBMIT THIS PAGE, YOUR SKETCH, YOUR VDH APPROVAL (IF REQUIRED) , AND YOUR $158 APPLICATION FEE TO COMMUNITY DEVELOPMENT, 401 MCINTIRE ROAD, CHARLOTTESVILLE, VA 22902 www.atbemarte.org/homestays v.9/17/191 Page 5of13 i A'DDWafj� I on 1 t _ d I U �I � Pi eD P.00rn PRiVgt'e �11'1�-9Ace r I 6 S I b g96il�ooh�L- o r n 1n 61Jih$ jLooM I-AhDih6 Abode SVC%4 ,1 cw e = ¢� i7¢YioY t 6(fC$ l3 oh 6=rct jc 2 in breeZerra� 3 �h$�l�6gRgbe �0 VMtp AR tv1 v ;S' poV-- eAt Oh OvJh �e D=r *o h'+ei ReSPoh$�g1.e a6�CS, coaCLcr�e..l 8pJa1 SmTt1, pmanenli.I viJ� oh G1�2 P�oPEt'�i. 'f3q. 28q.a7<}5 aouriY\e h.Sm�cha- �Ma�r.cow, t{ 0 o l r x FA 6 tn �hc ti °Saco oh gnccJl.q, ho,k�,e ioorS GYnt.at . \1K 22`t3ti