Loading...
HomeMy WebLinkAboutHS202000026 Approval - County 2022-06-14Homestay Zoning Clearance FOR OFFICE USE ONLY Fee Amt: $158 Receipt #: -a, 1. Applicant/Owner Information APPROVED by the Albemarle County A' Albemarle county h Development Depa Community Development Community pme p '�= 401 McIntire Rd., North Wing Date r>rp, Charlottesville, VA 22902 Ile �I`' Phone 434.296.58321 Fax 434.972.4126 Date Paid: ,,��,,,, Ck# `"c-`i. I By: �/Y I l�l By: /Ck NAME: IINCLri,�-k E-MAIL ADDRESS: M0. j,.5,P- (- PHONE: _q�;� p� MAILINGADDRESS: /i76 EE� QvALZ,70 2. Homestay Information TAX MAP AND PARCEL NUMBER (OR ADDRESS, IF UNKNOWN) 087vo-00-00-at gL 0 Fk c.-c C ZONING: ACREAGE HOMESTAYNAME RK.+I sue' e A s 2f. �S Puce of- Gl.-C� RESPONSIBLE AGENT NAME SAME AS ABOVE (OWNER) RESPONSIBLE AGENT EMAIL: — RESPONSIBLE AGENT PHONE: s'LI 43 y-II1 _U!o'/Ci RESPONSIBLE AGENT ADDRESS: — 3. Verification of Requirements NUMBER OF GUEST BEDROOMS: USING. ACCESSORY STRUCTURES? PROOF OF RESIDENCYPROVIDED? FLOOR PLAN SKETCH PROVIDED? 7— YES NO VES NO YES NO PARKINGREQUIRED: TOTAL HOMESTAY USES ON PARCEL w,eumg 2 ork h3 oms. N..Imd(6 Rooms ♦Z O-^Li Zked-pvori-c rLf. Tatal ON-Sbee[PaHting ©/ �i�ilQ v. l S c�L.rs 4. Applicant Signature hou&t ' I hereby apply for approval to conduct the Homestay identified above, and certify that this address is my legal residence. I also certify that I have read the restrictions on Homestays, that I understand them, and that I will abide by them. SIGNATU OFOWNER/APPLICAN DATE: PRINTNAME DAYPMEPHONE NUMBER. art � o Approved Approved with Conditions [ ] Denied I Zoning Official: //J// Date `�"''t - J VDH Approval Date. Building Official Approval Date: Fire Marshal Approval Date: SUBMIT ONLY THIS PAGE, YOUR SKETCH, YOUR VDH APPROVAL, AND YOUR $158 APPLICATION FEE www.albemarte.org/developmeM/ v. 8/14/19 1 Page 5 of 6 Provide Sketch Here or Attach Sketch to This Application I Ij • Lis �• i E urn- t 'g4bzz- I