HomeMy WebLinkAboutHS202100026 Permit 2022-07-05Short-Term Rental Registry
Annual Application
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Albemarle County
Co- mmunity Development
401 McIntire Rd. North wing
Charlottesville,, VA 22902
Phone 434.296a5832
www.albem-arle.org
Prior to opening for business, all operators of short-term rentals (including b
omestays 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 VDH and building/fire safety inspection)
Register fora 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
• Renew their
Melds m
arked with
an*
asterisk are the minimum required for registration.
1. Short -Term Rental Information
A whole hou
Area parcels
se rental is a short terns rental of a home during which the owner is not requi
of 5+ acres.
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*APPROVED HOMESTAY (HS),,BED AND BREAKFAST (BNB), OR ACCESSORY
TOURIST LODGING (ATQ CLEARANCE PERMIT NUMBER (IF APPLICABLE)°
'ADDRESS: I t4eo � K1 0 ET rbaf k W �.
*CITY, STATE, ZIP:
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TAX MAP PARCEL (IF KNOWN):'07 0
7
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GUEST BEDROOMS: I
2. Property Owner/Operator Information
* NAM Ea
*O ■O -DER DDRbSS3
CITY, STATE, ZIP:
PHONE:
0
22� 20
red to be present Whole house rentals are
ZONING (IF I<NOWN)r,
WHOLE HOUSE RENTAL T ❑YES
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only permitted on
Rural
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3. Responsible Agent information
The responsible agent roust be available within 30 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 RESPONSIBLE AGENT: T&Es ONO IF NO, COMPLETE RESPONSIBLE AGENT INFORMATION BELOW
NAME:
HOME ADDRESS:
CITY, STATE, ZIP:
PHONE:
EIL:
FOR OFFICE USE ONLY
Date Paid:
Fee Amt: ❑ $27 XX$0 with clearance application Ck #:
Receipt #: Received by:
Accepted
Reviewed by
Registration
❑ Denied
Date: 7/5,/? ?I
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