HomeMy WebLinkAboutHS202300009 Application 2023-01-31Homestay
Zoning Clearance Application
Albetnarte County
Community Development
401M,l the Rd.,klmth Wing
Clarlottesville,VA22902
Phone434.2965832 I Fm434.972A126
Appl"tion fee: $173.76
Submit thiscompleted application with the following online or to the address above: Tam,Il sa .w$4.76.Imp 0c 550
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. Copiesof twoformsof verification of residency (one government issuedwith photo ID+ one listingthe address- acceptableforms
include driver's license, voter registration card, U.S. passport, others as approved by the Zoning Administrator)
1. Homestay Information
Residentialtyzoned orW nud area parcds of leas than 5 ones may lave 2guect bedrawns by -right Use of occessorystnXtures 61 built Ware August 7. 2019) is
ontvae muted by -right an rural area parcels of5+acre. Whole hawse rental is anlypemdtted on rural area Panxfs of 5+ aces.
ADDRESS:
1989 Stonemont Farm
CITY. STATE. ZIP. I
Keswick, VA 22947
TAX MAP PARCEL (IF KNOWNk
04900-00-00-01100 a
ZONING (IF KNOWN),
ADVERTISED NAME OF HOMESTAY BFAFPLICABLE):
I Stonemont Cabin
ACREAGE OF PARCEL
53.45
NO. OF GUEST BEDROOMS
USING ACCESSORY STRUCTURES?
I ®YES
NO
WHOLE HOUSE RENTAL?
..4ar.
®YES
nn nn rt1 An
- we also own nearny iana-orny tBA fticW Nat aa.+vv.e ...
zProperty Owner/Operator information which according to Keith Bradshaw, ives the structure sufficient Se
NAME* Elizabeth Mitchell
HOMEADDRESS 2096 Stonemont Farm
CITY. STATE. LP Keswick, VA22947
PHONE NUMBER 703-509-2050 EMAIL- holafromelisa@hotmail.com
3. Responsible Agent Information
The responsible agent must be available within 30 rrilesofthe homestay atoll times during a homastayas4 and must respondardattenpt ingoodfafth to
resole any complaints within 60 rrinde of beingcadaded.
NAME* Alan Norford
HOMEADDRESS: 4365 Stony Point Pass
CITY, STATE. ZIP: Keswick, VA22947
PHONE NUMBER: 434-242-5172 [MAIL: anorfordl@aol.com
4. Signature
t hereby apply for approval to conduetthe 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 1 have read the
restrictions on homestays, that t understand them, and that I will abide by them.
SIGNATURE: �1'itt/u,QQ DnTE: 30 December 2022
FOR OFFICE USE ONLY
Fee Nat ET69+4% Date Paid safety kwection date:__ ❑Pass OFAI 2nd inspection date:_ _ ❑Pass ❑Fail
Receipt k VDH Food Service Cif necessaM ❑ Floolpbn ❑ Parking ❑ iD
Ckt Now; Reviewd By
Received by. Date
Hsr ❑Approved 0 Denied