HomeMy WebLinkAboutHS202100054 Approval - County 2022-08-25■ ■
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Zoning Clearance Application
r Mbe ewile County
,tom -r-r �'a\.Wmmun:ij u2vzl:rpmer.�
�` >` 8a1 NfIMIM Rd. North Wioa
f [harfattesYiiie, VA 225v< N�� 1A`r Phone 434.296.5832 i Fax 434.972.4126
Aoolication fee: S173.76
Submit tliI6 completed apiplicatk-tri with the following u,.iij '- or to the address albove: Ao,,$110-d+a+S+d�w;t;4tu.�L4Y,Sw
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and signage for the homestay, labeled setbacks, and parking ;minimum 2+ 1 spot/guest bedroom).
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include driver's license, voter registration card, U.S. passport, others as approved by the Zoning Administrator)
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Residentiallyzoned and rural area parcels of fez than 5 acres may have 2guest bedrooms by -right. Use of accessory structures (if builtbeforeAugust 7, 2019) is
OnlYpdnNnM UYighion rural an16a PgrcdSd S+pores, whWe11pJ5t leflaN a Nn!"pGnkttetl onnr7pl ores paredsW S+acres.
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CITY. STATE 71P:
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TAX MAP PARCEL (IF KNOWN):
ZONING (IF KNOWN)
UV
AtRIIBtu NAME Ur HOMES (!t APPUUBLt):
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A0<LAGL OF PAdCeL;
NO OF f_.1)EST BEpROr.>M5-
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LiSiNG Af[ESil,7RV STRtKTUR£t'
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WHOLE HCXMF RENTAL?
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APPROVED
2.property Owner/Operator Information by the AlhPmarier_.. -
NAME:
P em"On ""Pment Departmen
HnV" ""�°"`
3 Sa lROOLd File
CITY STATE, ZIP!
"(0"illt-ilm O w2
I'MONENUMPtR:)149
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3. Responsible Agent Information
The responsiofe agentmust beavaiiable within 30 miles of the horwtayadail times during a homestay use, and mustrespand mid attempt in good faith to
resolve any complaints within 60 minutes of beingcontaded. 11
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NAME:
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C.iTY, STATr, 7.,
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i PH/,N t NUMOkR:
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1 hereby apply for approval to tonductthe homestay Identified above, and certify thatthis address is my legal residence, and that I own
tfit prapertydr that F have rLfie+iad a ip2Clal eirnpttOt+ia operate f19ma CFay as a r"Ille t manager. fit" Ce" slat I have mom
restrictions on homestays, that 1 understand them, and that I will abide by them.
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Fee AmL$16991114% Paaate Paid:'��, �I
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Received by: 'tom D��
is H ID-ZA QMY
FOR OFFICE USE ON
iI .ia(eCy inspec6ai dale: 6: �2 C� as3 CIFall
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Upstairs Floor
Outside Ight
Downstairs Floor
Short -Term Rental Registry
Annual Application
c+pe AtBty AlbemmleCounty
:? r9 C—NMMilyDDe+doP r t
=r 401 McIntire Rd. North Wing
Charlottesville, VA 22902
Phone4342965832
'rrRc�xrw v www.alhemarle.org
Prior to opening for business, all operators of short-term rentals (including holnestays and previously approved bed and breakfasts and
accessorytourist lodging rentals) must
• Enroll on the Short -Term Rentals Registry with this form
• Obtain an approved zonineclearance(requires VDHand buildingAftre safety knpectimn)
• Register for a business license and remit reauired taxes
Annually following the initial approvals, all operators of short-term rentals must:
• Renew their enrollment on the registry with this form
• Pass a fire safety insoection
• Renew their business license and remit reouired taxes
Fields marked with an *asterisk are the minimum required for registration
1. Short -Term Rental Information
A whole house rental is a short term rental of a home during which the owner is not required to be present Whole houserentals are only permitted on Rural
Area parcels of S+acres,
-APPROVED HOMESTAY (HS), BED AND BREAKFAST (BNB), OR ACCESSORY
TOURIST LODGING (ATL) CLEARANCE PERMIT NUMBER (IF APPLICABLE):
'ADDRESS:
,�' 3 5
I 1 t oQ
-CITY, STATE, ZIP. lrkad04.pB
9 D a
)_l
TAX MAP PARCEL (IF KNOWN: ZONING(IFKNOWN):
GUEST BEDROOMS:
14 WHOLE HOUSE RENTAL
I 94 S CINO
2. Property Owner/Operator Information
"NAME:
Qr
'HOMEADDRESS:
') A
*CrrY,STATE,ZM.
I U Ile p l D
PHONE:
O C)
EMAIL: �U �- orivi
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3. Responsible Agent Information
The responsible agent must be available within ;34 miles 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 beingcontacted.
OWNER/OPERATOR IS RESPONSIBLE AGENT:
24ES ❑NO IF NO, COMPLETE RESPONSIBLE AGENT INFORMATION BELOW
NAME:
HOMEADDRESS:
CITY,STATE,ZIP:
PHONE:
EMAIL:
FOR OFFICE USE ONLY Date Paid:_j_/_
Fee Amt: ❑$27 ❑$Owith clearance application Ck#:
Receipt#:
Received
❑ Accepted ❑ Denied
Reviewed by:
Registration Date: J—J_
www.albemarle.org/homestays v. 9.17.201 Page 1of I