HomeMy WebLinkAbout08-05 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)
(Phone)
' / 22Q 0,;
(Address) �� RCI -, iylk"Sycl I !! 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. M I on Page D�n �) , and is described as
TAX 1b NUMB )Lf
Parcel: Lot: Block:
H' -i
.Section: iS�MIC � 3tw IrU,W
Section: i -i: �
do hereby make, constitute and appoint:
(Name) Cy(. f ly (Phone)
_1-0-un,vlm
(Address) ii -40 Jrth LAU I wIoCyVIfWt A Z_Q03
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 Permits
❑ Master Development Plan (Preliminary and Final)
❑ Subdivision
❑ Site Plan
9 o
My attorney-in-fact shall have the authority to offer proffered conditions and to make amen to r
previously appr ped proffered conditions except as follows: y
This authoriization shall expire one year from the day it is'signed, or until it is otheiwise rescindedfp
r
In witness thereof, I (we) have hereto set my (our) hand and seal this day of
Signature(s) �\_,
State of Virginia, City4ertmty of
helmsl�-°-�
To -wit:
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 i7 in the jurisdiction aforesaid this day of_,,. '� , 200.,,—.
" L< My Commission Expires:
Notary, Public