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HS202100044 Approval - County 2022-08-19
1 APPROVED y by the Albemarle County Community Development Department Date _ — 1(� 7 Fie Homestay Zoning Clearance Application +o, Albemarle County Community Development I- - 401 McIntire Rd., North Wing Charlottesville, VA 22902 •.xl'r '~ Phone 434.296.58321 Fax 434,972.4126 Submit this completed application with the following online or to the address above: Application fee: $158 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 mayhove 2uuest bedrooms by light. Use ofaccessory structures (if built before August7. 2019) is onlypermitted by -right on rural area parcels of S+acres. Whole house rental is onlypermitted an rural area parcels of 5+acres ADDFE55: I JAM E 1 V E o Cant CITY' STATE' IF PARCEL _ SGo 1 T5 V i L-Cc \1 f R 61 IV 1 A TAXMAP KNOWN): 13� ZONING (IF KNOWN; ADVERTISED NAME OF HOMESTAYIIFAPPLICABLEC SNET �C,\�S Gap'r"T(t�� ACREAGEOF PARC/EL'": NO. OF GUEST BEDROOMS: t USfNGACCE650RY STRUCTURESt ❑YES ❑NO WHOLE HOUSE RENTAL? . p,ES ❑NO 2. Property Owner/Operator Information NAME: i Fie T F R 1 I T5 i C;-� `C7 L HOME ADDRESS: I •0&-7 VALMoN"T LAWe _ CITY, STATE, ZIP S, C J_ ( 5 V I L L L V I R Ca 1 tJ 1 A 2.4 Sri O PHONE NUMBER: 6-3j I 3��1 O: �.Z- I EMAIL__—��j7l'�1G lG✓ Ce M(.t..l l C-0Ivl 3. Responsible Agent Information The responsibleagent must beavailable within 30 milesof the homestoyotall thimeduringo homestayuse, and mustrespondond ottemptingoodfaith to resolve any complaints within 60 minutes of being contacted. NAME: blE STILL 4t?AWAY5.I JKMILE HOME ADDRESS: CTOr6\ VAL{.d Oy_�T CITY STATE. ZIP: PHONE NUMBER. ���� EMAIL— `�'aMi�cl^I0wP xsj Mull CO Nt 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 1 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: ___ � DATE: _ — -— �LY.. 11 17v21 FOR OFFICE USE ONLY Fee Amt$158I Date Paid: (//as Sakty inspection date. ass ❑Fail 2nd inspection data: ❑P�asz/9 Fail Receipt A: d;-3 67� VDH Food Service lif necessary). otplan prune 19'D Ckk: 1 aI B Notes: Reviewd By: Received by r"", tt-mLt �K fNlc.• Date: Ems+ HSF d6�1 �OOV R'] pproved E] Denied mE)l �rj ru S� n \\ A (0 %Xis 'X� bo i chDO � r A` 00 Nd D a Q / \\\� 0 o ` /+ to tn 'a / PCO Lp ?V \F 70 T� rN al i Pam{+ ar`° w o m �w /-FRS'F„' UI N CD d' Ri T a F O + orb } / -D ww / mrTi rn En ow T - CO 4 mom N boLn m nnn 9"� h Z v (p i m gCD CD w W En / Vv t -n rN f0 N„J- I -rtl QJI I+? .rA Z 0 S a 7'�'� G--F�crcj,�. LNbD n m e I T . f w r,- .Cr G T ` IUl U / r� I T 'A- x Match Line ©zt 6oz)I 6 m mOm Hmcnwioma :3 X mmmm rn a7� � D (wnow 6 a8 Dt 7 0 nI RI RI m RIm � 0) DkKL- Npv (fAR, ? oc, R K 1 nt C-r t)w\`C t { p Qom I �` bedroom Ki#Crlen F1ren. Lo vY�>ry P,00m