HomeMy WebLinkAbout04-06 Power of AttorneySpecial 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, Winchester, Virginia 22601
Phone 540-665-5651 Facsimile 540-665-6395
Know All Men By Those Present: That I (We)
(Name) �R' u.l l— IM� e�Sa�' �I� (Phone)
SS�6
(Address) /009 �l�� ��74-�i� r 2nv�c/y���Sthe owners) of all those tracts orrcels of land (" P operty") co
Clerk's Office of the Circuit Court of the County of Frederick, Virginia, by
me (us), by deed recorded in the
Instrument No. on Page and is described as
Parcel: Lot: Block: Section: Subdivision:
do hereby make, constitute and appoint:
(Name) til PZJS ,STT (Phone)
(Address) 7q&& !J C --,LJ P.tcJ�,cT 4,cJ. S� i ►� l 1 }�Ay � Wl� a ly —Y C-�
To act as my true and lawful attorney m fact for and m my (our) name, place, and stead with full power and
authority I (we) would have if acting personally to file planning appli
Property, including: cations for my (our) above described
❑ Rezoning (including proffers)
,4 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This authorization shall expire one year from the day it is signed, or until it is otherwise rescinded or modified.
In witness there I (we) have hereto set my (our) hand and seal this --!;Z—day of v- 200
Signature(s) "/ _)-) —?, %�,�
State of Virginia, Bounty of Q c
� To -wit:
I'� , 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
acknowledged the same before mein the, jurisdiction aforesaidthis t day of_Uri 200.
No Pu c V --
My Commission Expires: