HomeMy WebLinkAboutHS202300012 Approval - County 2023-02-20cagy
Homestay
Zoning Clearance Application
Albemarle County
;-p Community Development
(` 401 McIntire Rd., North Wing
" Charlottesville, VA 22902
Phone434.296.5832 I Fax 434.972.4126
Application fee: $173.76
Submit this completed applicationwith the followingonliue or to the address above: Apdiraaen stay+Tea,,,dervs„�a,a,sese,24.In9Pamonssa
1. Floor plan/propertysketch With labeled structuresused for thehomestay, guest bedrooms, owner's bedroom, outdoor lighting
and signage forthe homestay, labeled setbacks, and parking (minimum 2+ i spot/guest bedroom).
2 Copies of two forms of verification of residertcy(am 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)
L Homestay Information
Residentially zoned and rural area parcels of Jess than 5 acres may have 2guest bMroamsby-riot Use Ofaossorystructures (fbuilt before Aµgust 7, 2019) is
only pumittdby-right on rura)ampanagsof5+acres Wtpkhouserentdis aniypnmined on real area parcels of 5+ow
ADDRESS:
19e4 Rirama Parm
CITY, STATE, ZIP:
Chabitewille, VA 22911
TAX MAP PARCEL (IF KNOWN):
Of10600-pU011a0
ZONING 1IF KNOWN):
ADVERTISED NAME OF HOMESTAY(IF APPLICABLE):
Rivanna Pass Enstex
ACREAGE OF PARCEL
42
NO. OF GUEST BEDROOMS: 5 USING ACCESSORY STRUCTURES?
❑YES ENO
WHOLE HCUSERENTAL? ❑YES la-1 N0
7 Property Courier/Operator Information
NAME: Iaavrence Blatfotd &Tamar Glaser
HOMEADDRESS: 1859 Rivanna Form
CITY, STATE, ZIP: ChorlottelhflIC VA 22911
PHONE NUMBER:
330.625.6744 $ 310346.61160 EMAR: tamarglaectayyahoo.wm
3. Responsible Agent Information
The reWmslbleagent must be available within 30 miles of the homestayatall times dudnga homestoyuse, and mustrespandand attempt In good faith to
nesolw arty complaints within 60 minutes a f bring comacted
NAME:
HOMEADDRESS:
CITY, STATE, LP:
PHONE NUMBER:
Same as above
EMAIL
4.Signatum
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 recleved 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 ablde by them.
SIGNATURE:
- -
DATE
AT _... _.
FOR OFFICE USE Y
Fee bPaid. rR $169+4% Date Safety Inspection ji-
rs date: Vss ❑FaA
Receipt e:--- VDH Food Service fd necessary):
Nptes:
Received by.
HSe
� PPRIDVED
by the Albemarle County
Community Development Department
Date
File _�
2,M ins date. ❑Pass ❑Fail
rrplan aark�I !D
aeN a By.
Date:_`,. _
proved Denied