HomeMy WebLinkAbout47-17 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) (Phone)
(Address)
the owner(s) of all those tracts or parcels of land ("Prope rty") conveyed to in e (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
Parcel: Lot: Block: Section: Subdivision:
do hereby make, constitute and appoint:
(Name) I l M r�.��'�y (�. 1 (:. '��r �' (Phone) C - i i 5 x� - ���C)'
(Address) l�, [1�C �c�� C 5 C' ; V� ,1c 1. c - -—�1�/A ��k_fA
To act as my true and lawful attorney -in-fact for and in my (our) nain e, place and ste ad with full power and
authority I (we) would have if acting personall y to file planning applications for in y (our) a bove describe d
Property, including:
Rezoning (including proffers)
Conditional Use Permit
=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This authorization shall expire one year from the day it is signed, or until it is otherwise rescinded or modified.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 It L) day of 1 - �;��fx>s , 20 1'7
Signature(s)
r--
State
�oojjff( Virginia, City/County of� � �r � < :ck , To -wit:
j a Not ary Public in and for the jurisdiction aforesaid,
certify that the person(s) who sig ned to the foregoing instrum ent personally appeared before in e and has
acknowledged the same before me in the jurisdiction aforesaid this IO*hday of1�7`-, , 20i.
r
My Commission Expires:
Notary Public