Short Term Rental - Bedford County
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3BEDFORD COUNTY
ZONING PERMIT APPLICATION
SHORT TERM RENTAL
(PLEASE PRINT)
PARCEL INFORMATION:
ZONING: (to be completed by Staff)
Tax Map #:
__________________________________ Parcel ID (RPC): __________________________
Subdivision: __________________________________ Zoning District: R-1
R-2
PRD
Section:
______________ Lot_________________ Magisterial District: ____ Election District: _____
Street Address:__________________________________ Overlay District(s): ________________________
OWNER INFORMATION:
Name
____________________________________________________________________
Address
____________________________________________________________________
City, State, Zip code ____________________________________________________________________
Phone #
_________________________________
Mobile #
_________________________________
Email address
____________________________________________________________________
RENTAL AGENCY/AGENT:
Agency Name
____________________________________________________________________
Address
____________________________________________________________________
City, State, Zip code ____________________________________________________________________
Phone #s
Day time _______________________ Evening _____________________________
Email address
____________________________________________________________________
Agent name
____________________________________________________________________
Directions to house from Bedford:
______________________________________________________________________________________
______________________________________________________________________________________
DWELLING INFORMATION:
Number of Bedrooms on Approved Sewage Disposal System Permit __________________
Maximum permitted overnight occupancy = # Bedrooms X 2 people (two yrs and over) ________________
Number of Working Smoke Detectors ____________
Number of Working Fire Extinguishers ____________
ITEMS REQUIRED TO BE SUBMITTED WITH APPLICATION:
1. Approved Sewage Disposal System Permit issued by Health Department
2. Plot Plan identifying required on-site tenant parking areas.
3. Fifty dollar ($50.00) permit application fee payable to Bedford County, Virginia.
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122 EAST MAIN STREET, SUITE G-03, BEDFORD, VA 24523 (540) 586-7616, FAX (540) 586-2059
Effective 07/01/2013
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