HomeMy WebLinkAbout33-16 Power of AttorneySpecial Limited Power of Attorney
County of Frederick, Virginia
Frederick Planning Website: www.co.frederick.va.us
Department of Planning & Development, County of Frederick, Virginia
107 North Kent Street, Wincheste -, Virginia 22601
Phone (540) 665-5651 Facsimile (540) 665-6395
Know All Men By These Presents: That I (We)
(Name) John Hagenbuch
(Address) 172 Pactiv Way Winchester, VA 22603
(Phone) 540-7.21, " '711 —5-/l(
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
Parcel: Lot: Block: Section
do hereby make, constitute and appoint:
(Name) Tung Niki Adhikusuma, P.E.
(Address) 1850 S. Loudoun St., Ste 200 Winchester, VA 22601
and is described as
Subdivision:
(Phone) 540-723-0704 X 3131
To act as m_v true and lawful attorney -in-fact for and in my (our) nam e, p lace and ste ad with full power and
authority I (we) would have if acting personall y to file planning applications for in y (o;y)n'(b®w described
Property, including: ``%",%%%, . FUNk�'-
P _,...... OGS
Rezoning (including proffers) Q� NOT • , ci'�,
Conditional Use Permit PUBLIC •; 9
Master Development Plan (Preliminary and Final)RFG.#7113241 '
_Subdivision = My COMMISSION
F7 1 p(PI ES z
Site Plan � . �I���`�
_=Variance or Appeal 2l '
� WEALTH �� 1•`'1
My attorney-in-fact shall have the authority to offer proffered conditions and to make amenc�iirlMt�`�c�`previously
approved proffered conditions except as follows:
This authorization shall expire one year from the day it is signed, or until i,I is otherw* e t�scinded or modifed.
in witness thereof, have heyeto set >;yw) hand and seal this!1 day of, ' Q / , 20 ��n
Signature(s)
State of Virgitia, pity/County
i r , To -wit:
I, `0JYO' L F H[ t °Q ,Y'✓ a Not ary Public in and for the jurisdiction aforesaid,
certify that the person(s) who sig ned to the foregoing instrum e�nt,;personally app aced befo e e and has
acknowledged the same before me in the jurisdiction aforesaid this I-1—�— day ofyo m -, 20&'') .
f f 1_L`. I a k My Commission Expires: iC
.�
otar}l"Public