HomeMy WebLinkAboutHS202200065 Approval - County 2023-01-05APPROVED
by tfle "Made Corm * ""� Albemarle County
Homesta Common D County � . r� Community Development
13 "1 :e ent e�prpartmen T 401 McIntire Rd., North Wing
Date ZZ ��. r Charlottesville, VA 22902
Zoning Clearance, WM;1NN Phone 434.296.58321 Fax 434.972.4126
Application fee: $173.76
Submit this completed application with the following online ortothe address above: Application $119 + Technology Surcharge $4.76+ inspection $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 2uuest 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.
ADDRESS:
19051 Dick Woods Rd.
CITY, STATE, ZIP:
I Afton, VA 22920
TAX MAP PARCEL (IF KNOWN):
ZONING (IF KNOWN):
ADVERTISED NAME OF HOMESTAY(IF APPLICABLE)
FLittle Afton Suite
ACREAGE OF PARCEL:
4.9
NO. OF GUEST BEDROOMS T1
USING ACCESSORY STRUCTURES?
❑ YES ® NO
WHOLE HOUSE RENTAL?
❑ YES ® NO
2. Property Owner/Operator Information
NAME: Meghan Little
HOME ADDRESS: 9051 DickWoods Rd.
CITY, STATE, ZIP: Afton, VA 22920
PHONE NUMBER: 43 -2 2 EMAIL megllttle@gmall.Comll
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.
NAME: Not Applicable
HOME ADDRESS:
CITY. STATE, ZIP:
PHONE NUMBER: EMAIL:
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 will abide by them.
SIGNATURE: I M. Little - Signature I DATE: 111/2/2022 i
FOR OFFICE USE ONLY
Fee Arne $169 +4% Date Paid:
Receipt #:
Safety inspection date:Iei ho lat Pass ❑ Fail
VDH Food Service (if, necessary):
Notes:
2nd inspection date:
Floorplan
Reviewd By:
/'—T-2.0Z3
❑ pass /❑ Fail
rking/ / /.I>7
Ck#:
Received by:
HS#
yDaaatte:
16 Approved
Denied