HomeMy WebLinkAbout10-06 Power of AttorneyI,
Special Limited Power of Attorney
County of Frederick, Virginia
Frederick Planning Web Site: www.co.frederick.va.us
Department of Planning Development, County of Frederick, Virginia,
1 Id 107 North Kent Street, Winchester, Virginia 22601
Phone 540 -665 -5651 Facsimile 540- 665 -6395
Know All Men By Those Present: That I (We)
(Name) Q g
(Address)
the owner(s) of all those tract parcels of nd "Property") conveyed to r me
03
Clerk's Office of the Circuit Court of the County of Frederick, Virginia, by
Instrument No.
(Phone) L•
on Page
Parcel: Lot: Block: Section: Subdivision:
do hereby make, constitute and appoint:
(Name) et A iz ARIZ CSVG
and is described as
(Phone)
6, 7 3233
(Address)
To act as my true and lawful attorney -in -fact for and in my (our) name, place, and stead with full power and
authority I (we) would have if acting personally to file planning applications for my (our) above described
Property, including:
My attorney -in -fact shall have the authority to offer proffered conditions and to make amendments to
previously approved proffered conditions except as follows:
This authorization shall expire one year from the day it is signed, or until it is otherwise rescinded or modified.
In witness thereof, I (we) have hereto set my (our) hand and seal this 9 day of it 200 !p
Signature(s)
Rezoning (including proffers)
Conditional Use Permits
Master Development Plan (Preliminary and Final)
Subdivision
Site Plan
lG 6-. 7 ic c.' -onzy Sr
State of Virginia, City /County ofs j
a a r0 0 t To -wit:
certify that the person(s) who signed to the foregoing instrument pers a f pea ed before me and has
acknowledged the same before me in the jurisdiction aforesaid this (D day of 200
t a i f
Notary Public
My Commission Expires. .'?7-