HomeMy WebLinkAboutHS202000028 Correspondence 2023-01-26 (2)Short-TArM RAntal Rpoictry
Annual Application`v•a�M• •`vb•J�•
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Albemarle County
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Community Development
401 McIntire Rd. North Wing
Charlottesville, VA 22902
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Phone434.2965832
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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 ---I-- ------ (requires VDH and building/firesafety inspection)
• Register for a him^•°°lino^°<=nir.nm+ronnlr<ri+>vec
Annuallyfollowing the initial approvals, all operators of short-term rentals must:
• Renew their enrollment on the registry with this form
• Pass a A.,, r #-+., :., ,..+:—
• 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 house rentals are only permitted on Rural
Area parcels of S+ acres.
'APPROVED HOMESTAY INS), BEDAND BREAKFAST (BNB), OR ACCESSORY
TOURIST LODGING (ATLI CLEARANCE PERMIT NUMBER (IF APPLICABLE):
'ADDRESS:
'CITY, STATE, ZIP:
CrOLL/ 2 �3Z
TAX MAP PARCEL (IF KNOWN):
ZONING (IF KNOWN):
GUESTBE.DR0OMS.
WHOLE HOUSE RENTAL'
❑YES &MtT--
2 Property Owner/Operator Information
`NAME:
G / / N / / /J.S T-
'HOME ADDRESS:
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31 J l
'CFrY.STATE,ZIP.
7_G7� Z
PHONE:
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EMAIL:
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3. Responsible Agent Information
The responsible agent must be available within 3p 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 bemgcordacted.
OWNER/OPERATORISRESPONSRIIEAGENT.
S ❑NO IF NO, COMPLETE RESPONSIBLE AGENT INFORMATION BELOW
NAME:
1 !`
HUML ADURLSS:
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CITY,STATE,ZIP.
/p ZC % .Z 7-2'7 Z-
PHONE:
1/3 V-6,23 2t1.,�'
I EMAIL'
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FOR OFncE USE ONLY
FeeAmt 0$27 J�jGaWth clearance application
ReceiptM / \
Date Paid: J_/_
❑ Accepted ❑ Denied
Registration Date: JJ—
www.albemarie.org/homestays v. 9.17201 Page 1 of 1