HomeMy WebLinkAbout06-05 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)
_r
j� . 4 AX—Y it's Phone -5�10 <
(Address),Sri Q�;�ri�c ti i; 1 jq� P,� K , tr � 2 C
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
Parcel: � �,- Lot: A Block: Ll f Section:
do hereby make, constitute and appoint:
(Name) 1 a,-)
and is described as
Subdivision:
(Phone) 7c-� "7l zj5
(Address) - ut- jk1 I
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
My attorney-in-fact shall have the authority to offer proffered conditions and to make amendments to
previously approved proffered conditions except as follows:
1-tns authorization shall expire one year from the day it is signed, or until it is otherwise rescinded or modified.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 day of
Signature(s)
v
State of Virginia, `C't y/County of J kiye,`C,C I , To -wit:
1, (2cj'1L, / i) I `' -r fr , allotary 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 me in the jurisdiction aforesaid this 0.,Z day of%J4 Jj , 2006'-.
My Comm,ission Empires: /` 3�"�' �
Notary Public