HomeMy WebLinkAbout03-06 Power of AttorneySpecial Limited Power of Attorney
County of Frederick, Virginia
Planning Office, 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 I (We)
(Name) �O 4 0 r 1 1 t kt f (Phone) -S `{0 6 "fr —064 -7
(Address) d j� -Ackt ',nd (ZA (A/1 ivjta s1 cr \I4 -2 W2i
the owner(s) of all those tracts or parcels Of land "Property") conveyed to me (us), by deed recorded in the
Clerk's Office of the Circuit Court of the County of Frederick, Virginia, by
Instrument No. (0 V 5 Page and is described as
Parcel: Lot: Block: 5 Section: Subdivision:
do hereby make, constitute and appoint:
(Name) k ier G N 1513546,5
.t/ /��!i/� (Phone)
(Address) 61 P/4rv'A*7 /u /)VC l Ott
To act as my true and lawful attorney -in -fact for and in my (our) name, place and stead with full power and
authority I (we) would have if acting personally to file planning applications for my (our) above described
Property, including:
Rezoning (Including proffers)
Conditional Use Permits
Master Development Plan (P eli:ninary and Final)
Subdivision
Site Plan
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This authorization shall expire one year from the day it is signed, or until it is otherwise rescinded or
modified.
In witness thereof, I (we) have hereto set my (our) hand and seal this 71
Signature(s)
Virginia, City /County of
day of 5:
To -wit:
,200
a Notary Public in and for the jurisdiction aforesaid, certify that the person(s)
who sign�ed
d ��'too the foregoing instrument and who is (are) known to me, personally ap before
and has :ar 1�6wled$ed thy same before me in the jurisdiction aforesaid this,./ day o 7 f� �3e
200 f?
F'C
G' My Commission Expires: /613/