HomeMy WebLinkAboutHS202200032 Approval - County 2022-08-26Homestay
Zoning Clearance Application
u- Albemarle County
x at '� Community Development
u.. _ 4 401 McIntire Rd., North Wing
.,. �•; c' Charlottesville, VA 22902
'rrn:t,k' Phone 434.296.58321Fax434.972.4126
Application fee: $173.76
Submit this completed application with the following =line or to the address above: Applk.tw,$119.Trhnv; y ,&mqg $4.76-In a.n$50
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.
I ADORE55. VK2_Q RE.D 0ILL_ l2oAU -- ---'
`-ITY. STATE, ZIP
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t TAX MAP PARCEL (IF KNOWN). .rAmc (A (<- AT'[
ArVERTISED NAME OF HOMESTAY(IF APPLICABLE): S"
ZC)NING (IF KNOwW:
ACRE AGE OF PARCEL:
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NO OF GUEST BEDROOMS:
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USING ACCESSORY STRUCTURES?
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WHOLE HOUSE RENTAL?
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2. Property Owner/Operator Information
NAME.
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PHONE NUMBER:
3. Responsible Agent Information
AIL_
The responsible agent must be available within 30 miles of the homestoyot all times during a homestay use, and must respond and attempt in good faith to
resolve any complaints within 60 minutes of being contacted
NAME
SU2AK NE O tJE F�
HOME ADDRESS:
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PHONE NUMBER:
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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 wilt abide bythem.
SIGNATUREG
Fie t 1169 - 4$ Date Paid
ry <e;pt a:
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Received by
HSd
DATE
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+ FOR OFFICE USE ONLY
5afewwspmtlondata:_ O �2?as ❑Fsu 2nd :nsPc<tion date: _______ ❑pass ❑I=a'I
VDH Food 5enice V necessary;.
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Reviewd By: p
Date:
APPR0VEQ__ ,__ E31Approved Denied
by the Albemarle County
Community, vel pment Department
Date 11
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