HomeMy WebLinkAboutATL201700006 Application 2023-03-06February 6, 2023 Page 3
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jIf -Short-Term
Rental Registry
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Albemarle County
Communi Development
401 McIntire Rd. North Wing
Annual Application
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VA 22902
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www.albemarle.org
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Prior to opening for business, all operators of short-term rentals (including homestav 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) �Y
• Register fora business license and remit reouired taxes
Annually following the initial approvals, all operators of short-term rentals must: �yryV
• Renew their enrollment on the registry with this form J
• Passafiresafety inspection
• Renew their business license and remit r ouired taxes
Ficlds marked with an'asterisk are the minimum required for registraVon,
1. 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 HOMESTAY(HS), BED AND BREAKFAST(BNB), OR ACCESSORY
TOURIST LODGING(ATL) CLEARANCE PERMIT NUMBER (IF APPLICABLE): T* ►�1/r�/HW D i+O
�an 2,T; I
'ADDRESS: 7 A die /nfr�fil•�.7 n t • L
'CITY, STATE, ZIP:
TAX MAP PARCEL (IF KNOWN):
GUESTBEDROOMS: I,
yzas
ZONING (IFKNOWN):
WHOLE HOUSE RENTAL: I OYES I]iN0
2. Property Owner/Operator Information
`NAME:
'HOMEADDRESS: vVY vr�riri v V�
'CITY, STATE, ZIP:
PHONE: I)C%(4 a3_Ra r _ a, _ . ► j EMAIL: w 1s . • L1.i ► .. ..fir 1 _
3. Responsible Agent Information
The responsible agent must be available within 3Q 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.
OWNER/OPERATOR IS RESPONSIBLE AGENT: 16YES ONO
NAME:
HOMEADDRESS:
CITY,STATE,ZIP:
PHONE: EMAIL:
FOR OFFICE USE ONLY . Date Paid:
Fee Amt: 0$27 13$0 with clearance application Ck#:
Receipt #: Received by:
www.albemarle.org/homestays
IF NO, COMPLETE RESPONSIBLE AGENT INFORMATION BELOW
❑ Accepted ❑ Denied
Reviewed by:
Registration Date:
v. 9.17.201 Page 1 of 1