HomeMy WebLinkAboutHS202300005 Approval - County 2023-02-22Homestay z _�� Z °, Albemarle County
s J 'fi Community Development
-l- _ 401 McIntire Rd., North Wing
Zoning Clearance Application - Charlottesville, VA22902
�alrMd>�r Phone 434. 296.58321 Fax 434.972,4126
bruit this completed application with the tollowin Application fee: $173.76
gf2Dlineortotheaddressabove: AAV4 Ibnille.Ternnebg 5,mdwrtet47641mpxlbn3So
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).
Copies of two forms of verification of residency (one 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)
Homestay Information
Residentially zoned and rural area parcels of less than 5 acres may have2suest bedroomsby-right Use of accessarystructures fit built before August 7, 2019) is
only pemlitted�bY-(Ifight an`rural area parcels of S+acres, Whole house rental is only pezmittedon rural area porcels of 5+acres.
ADDRESS: I I46'�
CITY,STATUIP'.
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TAX MAP PARCEL (IF KNOWN). OII R, - OZ- Ou - ciHoo ZONING (IF KNOWN):
ADVERTISED NAME OFHOMESTAY(IPAPPLICABLE): N ACREAGEOFPARCEb. 17,2.5
NO.OF GUEST BEDROOMS: I USINGACCESSORY STRUCTURES? ❑YES I�NO WHOLE HOUSE RENTAL? ❑YES jdNO
2. Property Owner/Operator Information
LNAME.. —1 g1A`li
HOME ADDRESS'.
1 CITY. STATE, ZIP, Cl1rt I011 `S�I,I� r zZ4tUZ
PHONE NUMBER EMAIL:
3. Responsible Agent Information
The responsible agent mist be available within 30 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 being contacted.
4.Signature
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 recieved a special exception to operate the homestay as a resident manager, I also certify that I have read the
restrictions on homestays, that II understand
them,
and that 1 will abide by them.
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Q Approved ❑ Denied