HomeMy WebLinkAbout01-12 Power of AttorneyCOG Special Limited Power of Attorney
44 �� County of Frederick, Virginia
w Frederick Planning Website: www.co.frederick.va.us
Department of Planning & Development, County of Frederick, Virginia
107 North Kent Street, Winchester, Virginia 22601
Phone (540) 665-5651 Facsimile (540) 665-6395
Know All Men By These Presents: That I (We)
(Name) A0 A"efr+
`1-Y // �_� (Phone)
(Address)! _ c ,c l- i �C, �,t'C. vr�stCf j i -Jr I if 1 .:�
the owner(s) of all those tracts or 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. Jt:j1)6CJ�/ /Y-5—on Page
rr\ r-ys H goo '(f Ii �
Parcel: Lot: Block: Section
do hereby make, constitute and appoint:
and is described as
Subdivision:
(Name) (Phone) �yO
(Address) 77 %j �jle LO-Aalie' kte f ud -IDL-603--
To
ID-6tlTo 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
Ej Master Development Plan (Preliminary and Final)
_Subdivision
Site Plan
_Variance or Appeal
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This authorization shall expire one year from the day it is signed, or until it is otherwise rescinded or modified.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 � day of , 20 1 ,
Signature(s)
FC.C2i v.A v SAIWM E GLORM
State of V49iailt, City oun f M4,t i v �V , To -wit: w1.rnMx • sm 0/ craw.
wc«... EqM Aw 23.2O1s
Comb" • EE 1"M
a Notary Public in and for
certify that the person(s) who signed to the foregoing instrument personally appeared before me and has
acknowledged tiie s me before me in the jurisdiction aforesaid this � day of Togt;rfZO
My Commission Expires: 9/2312-ei5-
otafy Public