HomeMy WebLinkAboutHS202200035 Application 2022-08-18Homestay
Zoning Clearance Application
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Albemarle County
Community Development
401 McIntire Rd., North Wing
Charlottesville, VA22902Phone 434.296.5832IFax434.972.4126
Application fee: $173.76
Submit this completed application with the following online or to the address above: Application $119 +Technology Surcharge $4.76+mspaction$so
1. Floor plan/property sketch with labeled structures used for the homestay, guest bedrooms, owner's bedroom, 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 acres may have 2 guest bedrooms by -right. Use of accessory 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:
1015 Bedford Hills Dr.
CITY, STATE, ZIP:
Ead.11S,VA22936
TAX MAP PARCEL (IF KNOWN):
045E0-0100A-00100
ZONING (IF KNOWN):
RA
ADVERTISED NAME OF HOMESTAY (IFAPPLICABLE):
ACREAGE OF PARCEL:
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2.34
NO. OF GUEST BEDROOMS:
1
USING ACCESSORY STRUCTURES?
® YES ❑ NO
WHOLE HOUSE RENTAL?
® YES ❑ NO
2. Property Owner/Operator Information
NAME:
Herman C Demme III and Carol A Demme
HOME ADDRESS:
1015 Bedford Hills Dr
CITY, STATE, ZIP:
Earlysville, VA 22936
PHONE NUMBER:
434973-8447
EMAIL:
vademhc1379coracastriet
3. Responsible Agent Information
The responsible agent must be available within 30 miles of the homestay at all times during homestay use, and must respond and attempt in good faith to
resolve any complaints within 60 minutes of being contacted.
NAME:
Carol A Demme
HOM E ADDRESS:
1015 Bedford HiBa or
CITY, STATE, ZIP:
EarlysyBle, VA 22936
PHONE NUMBER:
703975-6066
EMAIL:
cademme@comcast.net
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.
SIGNATURE: I //"M G C ,�>/// I DATE: I 18 August 2022
Fee Amt:$169+4% Date Paid
Receipt #:
Ck#:
Received by:
HS#
FOR OFFICE USE ONLY
Safety inspection date: []Pass []Fail 2nd inspection date: ❑ Pass ❑ Fail
VDH Food Service (if
Notes:
❑ Hoorplan ❑ Parking ❑ ID
Reviewd By:
Date:
❑ Approved ❑ Denied