HomeMy WebLinkAbout13-19 Power of AttorneySpecial Limited Power of Attorney
County of Frederick, Virginia
Frederick Planning Website: www.fcva.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 Mien By These Presents: That I (We)
(Name) pl/ayla sl &l 2 (Phone) 1502-
(Address)
d2
(Address) (00gC) pl�o AAS Lank.. KY Lfoulv
the owner(s) of all those tracts or parcels of land ("Property") conveyed to me (us;
Clerk's Office of the Circuit Court of the County of Frederick, Virginia, by
Instrument No.
on Page
Parcel:Lot: Block: Section:
do hereby_ make, constitute and appoint:
and is described as
Subdivision:
the
(Name) C.kr,S Nu -me±) / ign NOS (Phone) Sot-` r4,5O11 x Il$
(Address) N N
6arntJ�& W„ 2..A , Sv,4r
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:
ig (including proffers)
onal Use Permit
Development Plan (Preliminary and Final)
Site Plan
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This authorization shall expire one year from the day it is signed, or until it is otherwise rescinded or modified.
In witness thereof, I (we) have hereto set my (our)hW and seal this If f- day of A* m 20--,
State of Virginia, City/County of
I,
acknowledged the same before me in
To -wit:
in and for the jurisdiction aforesaid,
sonallya ed be ore me and has
day of, 20 .
n Expires: