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HomeMy WebLinkAboutHS202100022 Application 2022-06-15Homestay Zoning Clearance Application ++ Albemarle County Ia Commu nity Development McIntire Rd, North Wing s Charlottesville, VA 22902 Phone 434.296.5832 1 Fax 434.972.4126 Submit this completed application with the following cU=:,,jDaortothe address above: .. Application fee: $158 1. Floor plan/property sketch with labeled structures used for the homestay, guest bedrooms, owner'sbedroom, outdoor lighting and signage for the homestay, labeled setbacks, and parking (minimum 2 + 1.spot/guest bedroom). 2.. Copies of two forms of verification of residency (one government issued with photo ID + one listing the address - acceptable forms include driver's license, voter registration card, U.S. passport, others as approved by the Zoning Administrator) 1. Homestay Information Residentially zoned and rural area parcels of less than 5 acresma t have 2 guest bedrooms by-iight..Use of accessary structures (if built before August 7, 2019) is only permitted by -right on rural area parcels of 5+acres:: Whole house rental is only permitted on rural area parcels of 5+acres. ADDRESS: �] 20 /U 0111,,, kar 'PA CITY, STATE::24P'....: hR/'� �sl�p_ a ZZit%) TAX MAP PARCEL IFKIND AN) .-0D—t-)A _©-,21D0 ZONING.0F KNOWN): ADVERTISED NAME OF HO'HESTAY LFAIRLICAB E): AGREAGECF PARCEL Q.tlj NO, OFGUEB BEDEC0IM - I SINCACCESSORYSTRUCTURES ®YES ErNO WHOLE HOUSE RENTAL' I OYES 01PNO 2. Property Owner/Operator Information 3. Responsible Agent Information The responsible agent must be available within 30 miles of the homestoyat all times during a homestay use, and must respond and attempt in good faith to . resolve any complaints within60 minutesof being contacted. NAME: VIiCR.k� a cla 01��<S �� bk"Ilt HC ME ADD RESS: _ CITY, STATE, ZIP: ry Z2()01 PHONENUMBER EMAIL- - YiQre matl•I u 4. Signature I hereby apply for approval to conduct the homestay identified above, and certify that this address is my legal residence, and that I own the property or that I have recieved a special exception to operate the homestay as a resident manager. I also certify that I have read the restrictions on homestays, that I understand them, and that I will abide by them. SIGNATUR, 1 t / / /k 1 DATE::.I /, — /- 7n 7 1 FOR :OFFICE 'USE ONLY Fee Am= 5158 Cate pa, d l.riJ rJ Sa'ety irspecbor date _ _ ® Pass ®Fail 2nd inspection date. CgPoss ElFail Recent 9 VDH Food Serv;ce (if necessary): ® Pleaplar, �® Parking. ®ID Ckg: Notes- R,oe:,d 3y Received by _)ace: H 5 E _&�19{CCO22 ®',Approved ®Denied M