HomeMy WebLinkAboutHS202300009 Approval - County 2023-03-17Homestay
Zoning Clearance Application
.. ";. AUNNinarle County
P Community Development
401 MclnUre Rd., Nmth Wing
Char ldt avllle, VA 22902
rr Phone434.296.5632 It= 434.972.4126
Application fee: S173.76
Submit this completed application with the following nnhi1C or to the address above: ApvkatM it ty.T m, s... aw"74.6epe 1150
1. floor plan/property sketch with labeled structures used for the homestay, guest bedroom, owner's bedroom, outdoor lighting
and signage for the homestay, labeled setbacks, and parking (minimum 2 + I spot/guest bedroom).
2- Copies of two forms of verification of residency (one government issued with photo lD+one listing the address -accept a We forms
Include driver's license, voter registration card. U.S. passport. others as approved by the Zoning Administrator)
L Homestay Information
Resdentlaey2aned card ruralar[apawds of toss than 5 rases may have 2ayst bedrooms by-rWht Use Of ornessmywucnrc ((twiK blare Asqust Z, 2019) a
&*pamittedbyffsAtmsudmmpararhd5+Duel Wholrhouse rentalismoypemwwmn tosmporcdsd Seooes.
ADDRESS: 1 1989 Stonemont Faun --- - — - -- - - - -- - -
CNY.SIATE.ZIP: I Keswick,VA22947
TAX MAP PARCEL(IF KNOWN. 04900-00-00-01100 • ZONrNG(1i KNOWN).
ADVERTISED NAME OF HOMESTAYOFAWLICABLE): I Stonemont Cabin ACREAGE OF PARCEL: 53.45
NO, OF GUEST BEDROOMS 1 USING ACCESSORY STRUCTURES? I ®YLS NO I WHOLE HOUSE RENIAI.? I OYES 4111M
We also own nearby land -only tax map parcel #04900-00-00-011A0,
2.Prop"Owner/opera "Rormatlon which according to Keith Bradshaw, Rives the structure sufficient se
NAME: Elizabeth Mitchell
HOME ADORE55: 2096 Stonemont Farm
CITY.STATE.ZIP: Keswick, VA 22947
PHONE NUM8ER: 703_509-2050 EMAK: holafromellsaChotma(I.00m
3. Responsible Agent Information
The responvble aft must be amilable within30 miles of the honwstay atoll times dunrtgo homrstay use and must resporda dattampt in good faith to
rext omwox*abnt5within60mha'esofbdmgcwdoded.
NAME _ Alan Norford _
HOME ADDRESS: 4365 Stony Point Pass _
CrIfy STATE.ZIP: Keswick, VA 22947
PHONE NUMBLX: 434-242-5172 FMAu- anorfordl@aol.com
4.Siignature
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 necieved a special exception to operate the homestay as a resident manager. I also certify that I have read the
restrictions on homastays, that I understand them, and that I will abide by them.
SIGNATURE:
�ir�p�rvt',Ut - nfw—do
I DATE
I 30 December 2022
FOR OFFICE USE ONLY
Fee AmY. f169 . 4% Dale Pad
_ Safely iegecliondate - OPSss D Fsl 2nd im�pMion date;
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Notes
.-.
RecamilbY
HSa 16Z3-2
_ pploved
Denied