HomeMy WebLinkAbout07-16 Power of AttorneySpecial Limited Power of Attorney
County of Frederick, Virginia
Frederick. Planning Website: tYww.co.fR-ederick.va.tjs
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 (We)
(Name)
(Phone) 540-722-7747
(Address) -4-5
, Winchester, VA 22603
the owner(s) of all those tracts or parcels of land ("Prope rty") conveyed to in e (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) georcre H. Sticknan (Phone) 540-723-4133
(Address) 2.O_ 13px 2530 - 1057 MartinslaiiW Pike., Srnyhe-Ste'- Lt, 220 A 2603
To act as my true and lawful attorney -in-fact for and in my (our) name, p lace and stead with full power a nd
authority 1 (we) would have if acting personal] y to file planning applications for m y (our) a bove described
Property, including:
Rezoning (including proffers)
=Conditional Use Permit
=Alaster Development Plan (Preliminary and Final)
=Subdivision
_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:
i iu!s auLuurizazion snail expire one }}ear trom the day it is signed, or until it is otherwi rescinded or modifigd:
In witness there�I («Y) haveer to set �y four) hand and seal this _l day of e C , 20 %
Signature(s)
State of Vir ini/ City/Countyif� f j (j , To -wit:
(I ' a Not ary Public in and for the jurisdiction aforesaid,
certify that the person(s) who sig ned to the foregoing instrum ent_personally appeared before m e and has
acknowledged the same before me in the jurisdiction aforesaid this 1 \ day of ! �',::;.�0
My Commission Ex fires: )! J
Notary Public SARAH MAE JONES
Notary Public
Reg. #760441
My Commission Exps. �j i k