HomeMy WebLinkAbout03-19 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 Men By These Presents: That I 1 V
(Name) R, D D0SA 4 C-sLkt-VA F. D W SA (Phone) 5*) --5316— 375,b
(Address) 8$4 EQE.aEZe- CHL>QeR R&A9, GnKE VA AX6--j%
the owner(s) of all those tracts or parcels of land ("Property") conveyed to me 4Q, by deed recorded in the
Clerk's Office of the Circuit Court of the County of Frederick, Virginia, by
Instrument No. q 1 in
on Page (583 , and is described as
Parcel: 3.045 Lot: Block: Section: Subdivision: "P -4 �LQ A 73C
do hereby make, constitute and appoint:
(Name)
(Address)
To act as my true and lawful
authority I wG would have
Property, including:
_Rezoning (including proffers)
_Conditional Use Permit
0 Master Development Plan (Preliminary and Final)
_Subdivision
Site Plan
Variance or Appeal
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tyo Giglp6S!
(Phone)
20 1 wi ^X4j f=-s7-Ep- \1A A I(c b
attorney-in-fact for and in myour name, place and stead with full power and
if acting personally to file planning applications for my (D above described
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This authorization shall expire one year from the day it is signed, or until��i���j i,,��s otherwise rescinded or modifi d.
In witness thereof, I (we) have hereto set my (our) hand and seal this 1 -Nay of , 20
Signature(s)
State of Virginia, Ci County ofy��t To -wit:
a Notary Public in and for the jurisdiction aforesaid,
certify that the erson(s) who signed to the foregoing instrument pe onally appeared befff me and has
ackn wledged the same fo m6n the jurisdiction aforesaid thi�� �ay of/Y�' (A , 20/-7.
% WENDY D. ROBINSON
�� r NOTARY WODnimission Expires:L/
ota P lic Commonwealth of Virginia
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