HomeMy WebLinkAbout04-09 Power of AttorneyCOG
w �.e Special Limited Power of Attorney
a County of Frederick, Virginia
Frederick Planning Web Site: www.co.frederick.va.us
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Department of Planning & Development, County of Frederick, Virginia,
107 North Kent Street, Suite 202, Winchester, Virginia 22601
Phone 540-665-5651 Facsimile 540-665-6395
Know All Men By Those Present: That I (We)
(Name) 1, --ELL A,
(Phone)-:
(Address)C) &)Cg4j-/k (
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. on Page , and is described as l
Parcel: Lot: ` Block: A Section:Subdivision:
do hereby make, constitute and appoint: 6.
(Name) 9®6 E Itr Cftecea-AN , VA A (Phone) ZOZ- 3 65 -4 r Zz
(Address) 3 0 0WAS /� 14 pC. Zoo ,—T
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)
X. Conditional Use Permits
❑ Master Development Plan (Preliminary and Final)
❑ Subdivision
❑ Site Plan
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This authorization shall expire one year from the day it is signed, or until it is otherwise rescinded or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. �,( qAt
In witness there o ,1(we) have hereto set my (our) hand and seal this [ day of k.) kAo )no
t AA
-
Signature(s)
State of Virgin i/County of
r I it:
a Notary Public in and for the jurisdiction
aforesaid, ce iiy that the person(s) who signed to the foregoing instrument personally appeared before me
and has acknowledged the same before me in the jurisdiction aforesaid this
My Commis ion ExpirRO � h� `` 12-" ;
Notary Publ c Distnc o
My Commission Expires Sept. 14, 2010