HomeMy WebLinkAbout27-20 Power of Attorney4`G1 CO Special Limited Power of Attorney
w �e County of Frederick, Virginia
w Frederick Planning Website: www.feva.us
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Department of Planning & Development; CotLnty of FreLlQri!`l�, Virginia
107 North Kent Street, Winchester, Virginia 22601
Phone (540) 665-5651 Facsimile (540) 665-6395
Know All Men.By These Presents That:1-1
Name of Property Ovimer/Applicaalit I
Please note= If the property owner/applicant is an entity, the name of the entity should appear above.
If multiple persons own the property or are applicants, an executed power of attorney fr
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Mailing Address of Property Owner/Applicant I
om each owner will be needed.
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:
FM 1S-Aa9-C-,
do hereby make, constitute, and apl
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Name of Attorney -In -Fact
I51 Wrnd-J WIN �—ar,e
Mailing Address of Att6mey-In-Fact
C-
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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 app li tion with Frederick County, Virginia for the following, for the above identified property:
Rezoning ❑ Subdivision
Conditional Use Permit V2,-' Site Plan
❑ Master Development Plan (prelim. or final) ❑ 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
otherwise rescind or modify i
Signature
Title (if signing on behalf of an entity)
State of
County/City of I
NOTARY PUBLIC
MY COMMISSION EXPIRES
OCTOBER 31, 2021
To wit:
I— Inn J �, a Notary Public in and for the jurisdiction aforesaid, certify that
the person who Signed t o egoing instrument personally appeared before me and has acknowledged the
s e before me i sdiction aforesaid this al"' day of M a , 20,20. /
My Commission Expires: l o / %3 a 0<J /
Nota Public / 1 Registration Number: a 7