New Search
NOTICE OF RESTRICTION OF USE 11- 0 0 4 1 <br />and Notice of Right to Appeal <br />DATE: 05 x TIME: CASE <br />- ------- J-9 <br />LOCATION (PARK/OPEN SPACE) Q <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005(3), younre hereby <br />notified that you are prohibited from (check box). <br />*_ Entering in or using all City of Eugene parks, open spaces or facilities. <br />W <br />(Description of the violation.) <br />This restriction of use is effective beginning on LV2-1 and shall remain in effect unfil <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- I .074 you are entitled to an in fort hearing to coutest this Notice. request for an <br />informal hearing must be made in writing and Merl 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 />97402. <br />ourskexclusiv i I tic I uqucsL T17 neat n Lg. 777 TIC I n iormai nearn ig L17 M77777 i ire torwitila <br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to t <br />I <br />incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the informal hearin <br />Thi's Notice shall remain in efrect 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 />(Signature Of person issuing /delivering, notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />L)VA-5L-6 (O-R-, <br />_QAS FV_ <br />- ---- - - _- ------- Y) <br />a <br />(Signature of person being issued the notice <br />N <br />White Copyc PubHc Works Gruen ONDY File Yellow Copy Report Copy Pink Copy� Ri�,6picw, Cold Cupyi Officer Appeal notice Rev. 04KB <br />NMI C LIM First Micidle <br />L <br />DOB <br />Race/�U- v <br />4Rfs kk I d 1 0� ST S City, <br />�j M ST 51 <br />State <br />zip <br />Zip <br />Res, flhorie: <br />Work c: <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005(3), younre hereby <br />notified that you are prohibited from (check box). <br />*_ Entering in or using all City of Eugene parks, open spaces or facilities. <br />W <br />(Description of the violation.) <br />This restriction of use is effective beginning on LV2-1 and shall remain in effect unfil <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- I .074 you are entitled to an in fort hearing to coutest this Notice. request for an <br />informal hearing must be made in writing and Merl 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 />97402. <br />ourskexclusiv i I tic I uqucsL T17 neat n Lg. 777 TIC I n iormai nearn ig L17 M77777 i ire torwitila <br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to t <br />I <br />incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the informal hearin <br />Thi's Notice shall remain in efrect 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 />(Signature Of person issuing /delivering, notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />L)VA-5L-6 (O-R-, <br />_QAS FV_ <br />- ---- - - _- ------- Y) <br />a <br />(Signature of person being issued the notice <br />N <br />White Copyc PubHc Works Gruen ONDY File Yellow Copy Report Copy Pink Copy� Ri�,6picw, Cold Cupyi Officer Appeal notice Rev. 04KB <br />