HomeMy WebLinkAbout03-17 Power of AttorneySpecial Limited Power of Attorney
County of Frederick, Virginia
Frederick Planning Website: www.fcva.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) t70JA67, r (Phone) :5CJG - &(Od -ia Y%_0
(Address) I `13 G11.0p,,,, 4 a .15k rr�� a U -Am U
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. of (k IA-c4t on Page a) i
Parcel: Lot: Block: Section:
do hereby make, constitute and appoint:
n
(Name) A 4 (Y4 tr,
(Address) q';09 C- ?ArtA1
and is described as
Subdivision: ' e, (A &A
(Phone)
e , MN- 2(L 4(v
2v- -4(-gI-"03L_
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)
:—:ESubdivision
: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:
*r?. ���G.� ; �^!,til�,�'�A�,7( i?�."�?�l? �,.(�U(ll r, � 'l/I °i ?(lf� Eel d�11��•t �iC � ((,�
This authorization shall expire one year from the day it is signed, or until it is otherwise rescinded or modified.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 her to set my (our) hand and seal this day of , 20 ,
Signature(s) .�
State of Virginia, City/County of N 1' t OtE.i7 ( V , To -wit:
I, 4 0 f OL h i1%ICI6 0rl( -,a Notary Public in and for the jurisdiction aforesaid,
certify that the person(s) who signed to the foregoing instrument personally appeared before me and has
ac owledged the same before me in the jurisdiction aforesaid this i 2 day of Jt (n , 20J
MV Commission Expires:_5131118
Notary Public
SAF -1 �I ahp,�E iONS
` notary Public
F_„ •f`-� Commonwealth of
Reg. #761
ru�Commission Exps.