New Search
NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATE: _ j _ TIME: 0 9 c J CASE # <br />LOCATION (PARK/OPEN SPACE): W <br />1 - y L1 -'y <br />�. <br />Name: a First Middle <br />DOB: <br />Race /Sex: <br />L v� <br />C4 <br />U <br />Res. Addr,j City <br />State <br />Zip <br />Res. Phone: <br />Work Phone: <br />Under the authority of Administrative Order No. 58- 43 -24 -F and Park and Open Space Rule R- 1.005(3), you are hereby <br />notified that you are prohibited from (check box): <br />�7' Entering in or using all City of Eugene parks, open spaces or facilities. <br />FE <br />The basis for this Notice of Restriction of Use is that on Q 3V� � � , you violated Section ] � � of the Park <br />and Open Space Rules, andfor Section of theE Cade, 1971, andfor ORS To wit, you: <br />(Description of the violation.) <br />(�I <br />This restriction of use is effective beginning on � ( 4 , and shall remain in effect until G ` � CA <br />If you enter in or use any City of Eugene park, open space or facility during the effective period of this Notice, you may be <br />arrested and charged with criminal trespass in the second degree. <br />Pursuant to Park and Open Space Rule R -1,074 you are entitled to an informal hearing to contest this Notice. A request for an <br />informal hearing must be made in writing and filed with the Parks & Open Space Division Director ( "the Division Director ") <br />within 48 hours (exclusive of weekends) of receipt of this Notice at the following address. 1820 Roosevelt, Blvd., Eugene, OR <br />47402. <br />The Division Director shall schedule a time and place for the informal hearing to be conducted, which shall be not more than <br />72 hours (exclusive of weekends) of receipt of the request for hearing. At the informal hearing the Division Director will only <br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the <br />incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the informal hearing. <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of Exclusion was delivered to the person named at the top of this Notice at the date and time shown above by: <br />� <br />(Signature of person issuingidelivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />FA <br />(Signature of person being issued the notice) <br />White Copy: Public Works Green Copy: File Yellow Copy: Report Copy Pink Copy: Recipient Gold Copy: OfFicer Appeal notice Rey. 04.'03 <br />