HomeMy WebLinkAbout02-05 Power of Attorneya Special Limited Power of Attorney
County of Frederick, Virginia
swan,
Frederic]: P=awning We, Site: -w-w-w.co.frederick.va.us
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Department of Planning & Development, County of Frederick, Virginia,
107 North Kent Street, Suite 202, Winchester, Virginia 22601
Phone 540-665-5651 Facsimile 540-665-6395
Know All Men By Those Present: That I (We)
(Name) _,1�- 15 �< L �� --L C1 (Phone) 3 inn
(Address) 1'3 4LI \kj \kc,4 iv C. Li o,)C�lr'S r /} 16AV 01
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. "'Vele) Vele) IV -3% on Page
Parcel: Lot: Block: Section:
do hereby make, constitute and appoint:
(Name) '✓ - '•, �ltrc y e
and is described as
Subdivision:
(Phone)
(Address)
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:
This authorization shall expire one year from the day it is signed, or until it is otherwise rescinded or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 f day o O to a «/ 200 s',
Signature(s)
State of Virginia, City/Geun#3 of Z.� �r s : c To -wit:
a Notary Public in and for the jurisdiction
aforesaid, oert.fy that the person(s who signed to the foregoing instrument personally app ared before me
and has acknowledged the same before me in the jurisdiction aforesaid this �� day ofP X00 j
��— My Commission Expires: / 111,6
3
Notary Vublic