HomeMy WebLinkAbout37-18 Power of AttorneySpecial Limited Power of Attorney
County of Frederick, Virginia
Frederick Planning Website: www.fcva.ti.s
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 M//en By These Presents: That I (We)
(Name) (�'Or4 %4?(_,
(Phone) SV6 G G 2 -2,5_7, Z
(Address) / Ll� 'l CIF-. yV / N� f �S%�,r2 , 1/G4 .
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: Subdivision:
do hereby make, constitute and appoint:
(Name) Zt O Al O#ttloe_ t /J)m M w Z e—
(Phone) G� / - SY- 72 �G
(Address) FG- k 2-) �F' M &T -t /} WA r M_L tC 7 1
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)
E71 Conditional Use Permit
E71 Master Development Plan (Preliminary and Final)
Subdivision
FO Site Plan
LIJ Variance or Appeal
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 r sanded or modified.
In witness thereof, I (we have hereto set my (our) hand and seal this day of 5 - �!� , 201
Signature(s) G�
State of Virginia, City/County of Ge�,�z��,�� , To -wit:
I, r ll�; , a Notary Public in and for the jurisdiction aforesaid,
certify th t the rson(s) who signed to the foregoing instrument personally apppared before me and has
acknowl d t sa�efpre e ' the - risdiction aforesaid this �� 1day 0f(
, 20_L�_.
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My Commission Expires:
0