HomeMy WebLinkAbout09-03 Power of AttorneyCO
Special 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)
(Address) 06P > a3&Q y A 7zC, c. I
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 , and is described as
Parcel: � Lot: /-,� Block: Section: / 0 Subdivision:
do hereby make, constitute and appoint:
(Name) tt i MAr_z. Lt t c A tit (Phone) 6 Y, � � X1-- wr7',
!. J
(Address) t! ►h�C�l�
To act as my true and lawf7ul attorney-in-fact for andin 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)
C�—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:
Vb_kJ
I -
This authorization shall expire one year from the day it is signed, or until it is otherwise rescinded or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 7�o day of Ucloibe z. 5200--7,
,
Signature(s)
S Q s SUG[a� c
State of Virginia, City/County of FV2L�u_ 2ic.L , To -wit:
I,- ca Notary Public in and for the jurisdiction
aforesai , cWerltio that the person(s) who signed to the foregoing instrument personally appeared before me
a d ha cknowl Vthesamefore mein the jurisdiction aforesaid this day of , 200.
" My Commission y Commission Expires 4
N0tary Public UABev\Spedal Limited ron.wpd