HomeMy WebLinkAboutHS201900009 Correspondence 2022-12-22December 14, 2022 Page 3
Short -Term Rental Registry
Annual Application
�y osa Albemarle County
a� Community Development
.. 401 McIntire Rd. North Wing
Charlottesville, VA 22902
*a Phone 434.296.5832
+rur,�y�r ,ww.albernarle.org
Prior to opening for business, all operators of short-term rentals (including homestays and previously approved bed and breakfasts and
accessory tourist lodging rentals) must:
• Enroll on the Short -Term Rentals Registry with this form
Obtain an approved zoning clearance (requires VDH and building/fire safety inspection)
Register for a bin lic n eandr mitreauir dtax s
Annually following the initial approvals, all operators of short-term rentals must:
• Renewtheir enrollment on the registry with this form
• Pass a fire safety inspection
• Renew their business license and remit required 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 house rentals are only permitted on Rural
Area parcels of 5+ acres.
'APPROVED HOMESTAY (HS), BED AND BREAKFAST (BNB), OR ACCESSORY
TOURIST LODGING(ATL) CLEARANCE PERMIT NUMBER (IF APPLICABLE):
G
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ll
'ADDRESS:
1 ( ' , a (� )
'CITY, STATE, ZIP:
71n ,j3u'u ,'Z 5'0 1 LL<;•
TAX MAP PARCEL (IF KNOWN):
OUO
ONING(IFKNOWN):
GUESTBEDROOMS:
WHOLE HOUSE RENTAL:
I OYES O
2. Property Owner/Operator Information
'NAME:
D LC L f 1—
'HOMEADDRESS:
O_ ` 1 ?1. ,
'CITY, STATE, ZIP:
GZ]
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PHONE:
? O EMAIL:
LS 10 eLw£'� a629-C gci4.—,
3. Responsible Agent Information
The responsible agent must 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 60 minutes of being contacted.
OWNER/OPERATOR IS RESPONSIBLE AGENT:
,,;rj�Es ONO IF NO, COMPLETE RESPONSIBLE AGENT INFORMATION BELOW
NAME:
HOME ADDRESS:
CITY, STATE, ZIP:
PHONE:
EMAIL:
n
FOR OFFICE //////U���S���E ONLY Date Pai ( �Gcepted ❑Denied
Fee Am7 0$0 with clearance application Ck B:
tt���((( ��It���(((��I ''� ! /� Reviewed by:
Receip C7�'7 Receivedby: Registration ld✓f�.i��
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wwwAbemarle.org/homestays v. 9.17.201 Page 1 of 1
RECEIVED
DEC 1 1 2022
COIv,: uNITY
DEVE' .')PMENT