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01-20 Power of Attorney
4`c�c CO Special Limited Power of Attorney �e County of Frederick, Virginia Frederick Planning Website: www.feva.us �N 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 Byt: � These Presents Tha /_ Name of'Property Owner/Applicant I Please note: If the properly owner/applicant is an entity, the name of the entity should appear above. if n}ultiple persons o the pre erty or are app cants an execute power of attorney from each owner will be needed. /win a? �V ,, n � 6 Mailing Address of Property Owner/Ap icant 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: do hereby make, constitute, and appoint: Name of Attorney -In -Fact � � I i.� ', (-t _� "k o 3 QL - y Mailing Address of Attorney -In -Fact �. �"Telephone Number to act as my true and lawful attorney-in-fact for and in my name, place, and stead, with the same full power and authority I would have if acting personally, to file and act on my behalf with respect to appli tion with Frederick County, Virginia for the following, for the above identified property: Rezoning F1Subdivision Conditional Use Permit F1Site Plan Master Development Plan (prelim. or final) E] 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: This appointment shall expire one year from the day that it is signed, or at such sooner time as I otherwise rescind or/Ifi)[)dify it. , Signature ,1 l>l/L Title (if signing onlKAaf of an entity) State of V I ro'1 Tl 1 4CountvCityof ry('r1<-Y t C k 'To wit: 1, kath tin 6- S im't �-h a Notary Public in and for the jurisdiction aforesaid, certify that the person who signed the foregoing instrument personally appeared before me and has acknowledged the sam before me insdiction aforesaid this©t qday of �jDy 2047f�b cQmt 'r 30 Notaly Public Rl�i} (o REGISTRATION # 7660563 COMMONWEALTH OF VIRGINIA My COMMISSION EXPIRES SEPTEM 3