HomeMy WebLinkAboutHS202200043 Application 2023-01-31Short -Term Rental Registry
Annual Application
Albemarle County
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Community Development
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401 McIntire Rd. North Wing
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Charlottesville, VA 22902
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Phone 434.296.5832
www.albemarle.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 fora business license and remit reauired taxes
Annually following the initial approvals, all operators of short-term rentals must:
• Renew their enrollment on the registry with this form
• Pass afire safetv inspection
• Renew their business license and remit required taxes
Fields marked with an 'asterisk are the minimum required for registration.
I. 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 HOMESjD BR4(BNB).SORY
TOURIST LODGING (AEPERLE):
'ADDRESS:
2a to _T'CITY,
STATE, ZIP:
TAX MAP PARCEL (IF
ZONING (IF KNOWN):
GUESTBEDROOMS:
WHOLE HOUSERENTAL:
YES ONO
2. Property Owner/Operator Information
**NAME: -LAJ , 11 A ?,p(-7
PHONE: L12U i b9i i ., .,�_ �..... 1 7
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 50 minutes of being contacted.
OWNER/OPERATOR IS RESPONSIBLE AGENT: - YES ONO IFNO,COMPLETE RESPONSIBLE AGENT INFORMATION BELOW
NAME:
HOME ADDRESS:
CITY, STATE, ZIP:
PHONE: EMAIL:
FOR OFFICE USE ONLY Date Paid:
Fee Amt: 0$27 13$0 with clearance application ,Ck p: ❑ Accepted ❑ Denied
Receipt p; Received by: Reviewed by:
Registration Date:
www.albemarle.org/homestays
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