HomeMy WebLinkAbout04-20 Power of AttorneySpecial Limited Power of Attorney
County of Frederick, Virginia
Frederick Planning Website: www1eva.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:
Name of Property Owner/Applicant
Please note: If the property owner/applicant is an entity, the name of the entity should appear above_
ry If multiple persons own the property or are applicants, an executed power of agumey from each wne will beneeded.
/ a 1 t�Y l l�lvi*►1'1✓ rE ; V!g , � C '_.72,
Mailing Address of rty (honer/Applicant 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:
and appoint:
Mailing Address of
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 appii tion with Frederick County, Virginia for the following, for the above identified property:
Rezoning E] Subdivision
Conditional Use Permit El Site Plan
Master Development Plan (prelim. or final) M 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 modify it.
Signaturez/2, - / " �, AmZaAe�—,
Title (if si "ng on behal of an entity)
State ofy )q � !'LJL� of of 1 trl L' t kry) To wit:
1, JZ° -h 1K-e_'l SVS , 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
same before me in the j sdiction aforesaid this day of 2020
NAA4��A� My Commission Expires: LP
Notary Public Registration Number:
'rltftte::. v`arie Fish
alth of Virnin
'1 r01'
C:nomission No. 7848481
My Commission Expires 6/30/2023
Kathleen Mare F- iish
COM xnonwea 1a
Notary Public
Commission No. 7848481
W Commission Expires 6/30/2023