HomeMy WebLinkAbout19-04 Power of AttorneySpecial Limited Power of Attorney
County of Frederick, Virginia
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Planning Office, 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)� J -Z Y1 ✓ i ! , - 1 A// /' 4 , 2 �f}NC � (Phone) —LC—L k011D
(Address) % k2'oc(af 1Tr/� SKr" Vii% � /1 SJR
the owner(s) of all those tracts or parcels of land ("Property") conveye4.�
d 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 , and is described as
Parcel: Sa Lot: -_ Block -A2 Section: - Subdivision:
do hereby make, constitute and appoint:
(Name)
/ (Phone) , /7 - �
(Address) / / (,C3 C_X 4tcll�n} 1Z1i1t�PS*J �)661,1
To act as my true and lawful attorney -m -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)
R" -'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This authorization shall expire one year from the day it is signed, or until it is otherwise rescinded or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 day of 200 %L,
Signatures)xv-�� � U�.�. �� ��, , r .n ��i,'i ` „,moi
State of Virginia, City/ oun of Jfucu
sr• ��,
a Notary Public in and for the jurisdiction aforesaid, certify that the person(s)
who signed to the foregoing instrument and who is (are) known to me, personally appeared before me
and has acknowledged the same before me in the jurisdiction aforesaid this `'day of TUAle , 200 .
My Commission Expires: ly)a,�j . / 200
Notary Public V ---