5.29.14 Park Restrictions - Laserfiche WebLink

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NOTICE OF RESTRICTION OF USE and Notice of Right to Appeal DATE: TIME: L( Z- CASE 9: 1 0q tLf LOCATTON (PARKJOPEN SPACE,),____ T --A�-176 - ------ - -------------- - - - - - ------- ---------------- Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005( you are hereby notified that you are prohibited from (check box,) (Description of the violation.) This restriction of use is effective beginning on 06- V-1 q-1 and shall rentain in effect until 0CP3J 1Y If you enter in or use a ny City of Eugene. park, open space or facility during the effective period o this N otice, you may be arrested and charged with criminal trespass in the second degree. 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 info al hearing MUSI be rnade In writing and filed with the Parks & Open Space Division Director ("the Division Director") within 48 h0UrS (0XClL1%'iV0 of WVekends) of receipt of this Notice at the following address: 1920 Roosevelt, Blvd., Eugene, OR 97401 T he Division Director shall schedule a time and place ror the informal hearing to be conducted, which shall be not more than 72 hours (exclusive of oveckends) of receipt of the request for hearing. At the info al hearing the Division Director will only consider testimony ftorn you, City personnel involved in the incident that resulted in this Notice, and other witnemes to the incident. The Division D irector may exclude anyone, other than you and those presenting testimony, from the informal licari I 1g, This Notice shall remain in effect pending any requested heHring. (Signati,116 61 issuing/dofivering notice) f hereby acknowledge receipt of the above Notice on the date and time indicated above. 4 ni 0. -------------- --- - ---------- - (S. gunatum - person. being issued the notice) whitt cop Public Work� Cff, 4u Copy Filc yeho" Copy: rkeron Copy Pink 0,r1y Reeipmit G(A Cop 0 frivcg Appeal not - Lce Re%, 04/0 Name: Last First Middle DOB: 6 Re Addrc..s: Ott - Statc Zip Res. Phuae: Work Phme, Tp,hA Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005( you are hereby notified that you are prohibited from (check box,) (Description of the violation.) This restriction of use is effective beginning on 06- V-1 q-1 and shall rentain in effect until 0CP3J 1Y If you enter in or use a ny City of Eugene. park, open space or facility during the effective period o this N otice, you may be arrested and charged with criminal trespass in the second degree. 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 info al hearing MUSI be rnade In writing and filed with the Parks & Open Space Division Director ("the Division Director") within 48 h0UrS (0XClL1%'iV0 of WVekends) of receipt of this Notice at the following address: 1920 Roosevelt, Blvd., Eugene, OR 97401 T he Division Director shall schedule a time and place ror the informal hearing to be conducted, which shall be not more than 72 hours (exclusive of oveckends) of receipt of the request for hearing. At the info al hearing the Division Director will only consider testimony ftorn you, City personnel involved in the incident that resulted in this Notice, and other witnemes to the incident. The Division D irector may exclude anyone, other than you and those presenting testimony, from the informal licari I 1g, This Notice shall remain in effect pending any requested heHring. (Signati,116 61 issuing/dofivering notice) f hereby acknowledge receipt of the above Notice on the date and time indicated above. 4 ni 0. -------------- --- - ---------- - (S. gunatum - person. being issued the notice) whitt cop Public Work� Cff, 4u Copy Filc yeho" Copy: rkeron Copy Pink 0,r1y Reeipmit G(A Cop 0 frivcg Appeal not - Lce Re%, 04/0