HomeMy WebLinkAbout02-15 Power of AttorneyC�
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,
107 North Kent Street, Suite 202 Winchester, Virginia 22601
Facsimile 540-665-6395 Phone 540-665-5651
Know All Men By Those Present: That I (We)
(Name) l'i w %•( % I 0,-J 7U, (Phone) 5 0�
(Address) , �CA�.1� �. Ln.� e ���� �x �'l� S t -r r/� 01 vC (C:G ra',
the owner(s) of all those tracts4r parcels of land ("Property") conveyed to me (us), by deed recorded in
the Clerk's Office of the Circuit Court of the County of Frederick, Virginia, by
Instrument No. C1 LJ C) ()'d Q, 1 D, -'on Page
and is described as
Parcel: Lot: Block: Section: Subdivision:
do hereby make, constitute and appoint: &(,, ;7 3 �
(Name) u l �"l-; l f (i �(/ 1Q (Phone) l 3Z-3 -U Z.
(Address) (� C 13 1-L _Z:5/,, �� . lL1/dl C/1sS1C--- /M
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:
Rezoning (including proffers)
Conditional Use Permit
Master Development Plan (Preliminary and Final)
_ Subdivision
Site Plan
Variance or Appeal
Comprehensive Policy Plan Amendment
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This authorization shall expire one year from the day it is signed, or until it is otherwise rescinded or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. S
In witness tl}er� I (we) have hereto spy my (our) hand and seal this S day of tto , 2,90
Signature(
State of Vir a, City/County of , To -wit:
I, Y a 14(k c� ao () 4�K 'a Notary Public in and for the jurisdiction
aforesaid, certify that the person(s) who signed to the foregoing instrument personally a eared before me
andhas knowledged the §ame before mein the jurisdiction aforesaid this LA d "1 006
/ �AaIA�H CEZEP
PIJ8L1C NOG
TAH�'
My Commission Expires: RFGI t
MDNAIEA�OFNotary Public MCmpy", VIRGINIA IA
Revised 3/17/08 �CE,,SIQNEXPIRES
2ot 7