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ACTION REQUIRED BY DECENIBER 12.2022 TO AVOID PENALTY
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zoning clearance has been approved, you have not enrolled or renewed your Short -Tenn Rental
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f/-ACTIVE: The short-term rental continues to operate„ and I have conApleted the enclosed
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EXEMPT- The short-term rental corftues to operate: (however, it is exempt irom registration
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f"EZ`3944A, uut = &x t ir-5=;arse we (i) licensed by the Real
Estate Board or is a property owner who is represented by a real estate licensee; (ii) registered
pursuant to the Virginia Real Estate Time -Share Act et seq.); (in) licensed or registered
with the Department of Health, related to the provision of room or space for lodging, or (iv) licensed or
registered with the locality, related to the rental or management of real property, including licensed real
estate professionals, hotels, motels, campgrounds, and bed and breakfast establishments.}
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SLroiita Short -Term Rental Reoistry Annual Aoulication t ar vaiiliiUlaa°
$27 applicog� acme at+raaq am of fte iallauiaalg sudbedw
® Online apolication portal—((https://Ifweb.albemarle.orz/Forms/CDDSubmissiort);
provide payment through the online payment portal
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t+°FA Albemarle County
Short -Term Rental Registry s -E Community Development
r k 401 McIntire Rd. North Wing
Annual Application Phone434.2e,583VA 29p2
dt Phone 434.296.5832
ramet" www.albemarle.org
Prior to opening for business, all operators of short-term rentals (includinghomestays and previously approved bed and breakfasts and
accessory tourist lodging rentals) must:
• Register with this form
• Obtain an approved zoning clearance (requires VDH and building/fire safety inspection)
• Register for a business license and remit reouired taxes
Annually following the initial approvals, all operators of short-term rentals must:
• Renew their registration with this form
• Pass a fire safety inspection
• Renew their business license and remit reouiredtaxes
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 house rentals are only
permitted an
Rural Area parcels of 5+acres.
'APPROVED HOMESTAY (HIS), BED AND BREAKFAST (BNB), OR ACCESSORY
TOURIST LODGING IATU CLEARANCE PERMIT NUMBER (IFAPPLICABLE):
'ADDRESS:
'CITY, STATE, ZIP:
P PARCEL(IF KNOWN):
?GUEST
D . De 4e4
ZONING (IF KNOWN):
BEDROOMS:
/
WHOLE HOUSE RENTAL:
pyES p,NO
2. Property Owner/Operator Information
/
®
r Y L �•
3. Responsible Agent Information
The responsible agentmust be available within 30 miles of the homestay at all times during a homestay use, and must respond and attempt in good faith to
resolve any complaints within 50 minutes of being contacted.
OWNER/OPERATOR IS RESPONSIBLE AGENT:
f?'rE5 17 NO IF NO, COMPLETE RESPONSIBLE AGENT INFORMATION BELOW
NAME:
HOMEADDRESS:
CITY, STATE, ZIP:
PHONE:
EMAIL -
FOR OFFICE USEONLY
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ReceiPt#:LA5(D `"1 9
Date Pak!IU AQ
Ck #:
Received by.
❑ Accepted 0 Denied
Reviewed bv:
Registration Date:
www.albemarle.orgRamestays v. 9.27.201 Page 1 of 1