HomeMy WebLinkAboutHS202300009 Application 2023-01-31 (2)Albemarle Comty
Short -Term Rental Registry x ` ° WCharbtteHe svak. VA YY9@
Annual Application ww dabemarle�g
Prior to opening for business, all operators of short-term rentals (including homestays and previously approved bed and breakfasts and
aaImssory tourist lodging rentals) must
• Enroll on the Short -Term Rentals Registry with this form
• Obtain an approved 7oning cleara nce (requires VDH and building/fire safety Inspection)
• Register for a b li rpnse and remit reg Tired taxes
Annually following the initial approvals, all operators of short-term rentals must
• Renew their enrollmemon the registry with this form
• Pass a fir safety inspection
• Renew their bUeinesq license and remit required taxes
Fields marked withmn &Aere:kwe the mirinrm requIredfor registra[kn.
1. Short -Term Rental Information
A wink hauarerid ma shortterm rm" of a horns dudrrgwhidt the owner is not recpiwrd tote pnesatt. Wh* hmw,alfals ai,emly permitted m Itural
Area parcels of 5+ acres.
'APPROVED HOMES-TAY (HS). BED AND BREAKFAST B1,181 OR ACCESSORY
TOURIST LODGING(ATL) CLEARANCE PERMIT NUMBER (IF APPLK.Xf ]=
-ADDRESS 1989 Stonemont Farm LLLLLL������� -- — — — —
-CrrY,STATE,ZIR Keswick, VA 22947
TAX MAP PARCEL BFKNowNI: 04900-00-00-01100 ZONINGFKNOWN):
GUEST BEDROOMS: 1 — _ — — HOUSE RENTAL: %YES oNo
2- Property Owner/Operator Information
'NAME
Elizabeth Mitchell
'HOMEADDRESS:
2096 Stonemont Farm
-Crnr,STATE.ZIP:
Keswick, VA 22947
PHONE:
703-509-2050
EMAIL
holafromelisa@hotmail.com
3. Responsible Agent Information
Ther,p,,nbkd3e0rnust be available within xfmil softhe homestayat all tunes during atxmestayuse, and must respond and attempt in good faith to
rewire any complaints within 6D minutes of being00ntacted.
OWNERIOPERATORISRESPONSIBLEAGENf: I OYES ANO
NAME: _ Alan Norford —J
HOME ADDRESS: 4365 Stonv Point Pass
CrrY.STATE.ZIP: Keswick, VA 22947
PHONE: 434-242-5172 ---�
FOROFFICEUSEONLY
Fee Aral: Oi27 ❑ towfth deararxe applicAinn
EMAIL
Date Paid,._J__J_
IF NO,COMPLETE RESPONSIBLE AGENT INFORMATION BELOW
anorfordi@aol.com
❑Accepted ❑Denied
Registration Date J_/_
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