HomeMy WebLinkAbout01-20 Power of AttorneySpecial Limited Power of Attorney
o
ri County of Frederick, Virginia
a
r Frederick Planning Website: www.fcva.us
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Departrrtent of Planning & Development, County of Frederick, Virginia
107 North Kent Street, Winchester, Virginia 22601
Phone (540) 665-5651 Facsimile (540) 665-6395
ow All Men By These Presents That:
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Name of* Property OwneriApplicaht
Please note: Irthe property m%ner.applicant is an entity, the name of the entity should appear above.
If multiple persons o«n the roptirt:, or are ak.
qp ants, aTn eXectttcd rnter ofattorney from each o\Nner gill be need d
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Meiling Address of Property Owner.'Apphcant Telephone Number
as owner of, or applicant with respect to, the tract(s) or parcel(s) of land in Frederick County,
Virginia, identified by following property identification numbers:
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do hereby make, constitute, and appoint:
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Name oi'Attome}-ln-Fact
1.51 cowxy Ht%i L,,, c- (djtnc key` r -..r . VA Zzr✓�� ���) 664-416*
Mailing Address of Attorney-ln-Fact Telephone Number
to act as my true and lawful attorney-in-fact for and in my name, place, and stead, Nvith the same
full power and authority 1 would have if acting personally, to file and act on my behalf with respect
to application with Frederick County, Virginia for the following, for the above identified property:
Rezoning Subdivision
Conditional Use Permit Site Plan
Master Development Plan (prelim. or final) F -I Variance or Zoning Appeal
and, further, my attorney-in-fact shall have the authority to offer proffered conditions and to make
amendments to previously approved proffered conditions except as follows:
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This appointment shall expire one year from the day that it is signed, or at such sooner time as.1
otherwise rescind or ify it.
Signature I �
Title (i f signing on ehalf of an AtiK)� R L2
State of County/City of��' To wit:
1, ulkl i", I';b a Notary Public in and for thejurisdiction af
«oresaid, certify that
the person h signed the foregoing instrument personally appea ed before me and has acknowledged the
P-4sajmke before me in the jurisdiction aforesaid this day of ��" ` 20Y).
My Commission Expires:" tp—)�-
Notary Pu _li '+ Registration Number: ''