6.4.14 Park Restrictions - Laserfiche WebLink

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NOTICE OF RESTRICTION OF USE and Notice of Right to Appeal Ac (IR DATE: TIME- CASE #- LOCATION (PARKJOPEN SPACEJ �(O Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule 11-1.005�3 you are hereby notified that you are prohibited from (check box): ')g Entering in or using all City of Eugene parks, open spaces or facilities. El The basis for this Notice of Restriction of Use is that on you violated Section 11 — —50-11:)tf the Park and Open Space Rules, and/or Section ?jX a— of the Eugene Code, 197 1, and/or ORS —. 'ro wit, you: I—CAr 2E " 'T r Il O- (Dcscription of the violation.) This restriction wtive beginning on until - of use is effL _, and shall remain in effe ct f f you enter in or use any City of Eugene park, open space or facility during the effective period ofthis, Notice, 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 informal hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Director") within 48 hours (exclusive of weekends) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR 97402. N V81400MIRM11" A 12 nours (exclusive Of WeeKenus) or receipt or Me request Tor nearing. At tne iniortnat nearing ine ivision I Trector Ti I only consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the informal hearing. This Notice shall remain in effect pending any requested hearing. 'This N otice of Exclusion was d elivered to the person narned at the top o this Notice at the d ate and time shown above by: ----- - ----- - - (Signature of person issuing/delivering notice) I hereby acknowledge receipt of the above Notice on the (late and time indicated above. ------------------- ------------- --- g 111 (Si tore of person being issued the notice) Whit,c Copy: Pp Nk: Work4 GrCCnCop)L Pile V el low C opy: R (P urt Cupy Pink Copy� kcoipicnt Gold Copy OfPcer Appral nofice R, -6v- (410-3 Name: Last First Middle DOB. lka X 4 7y- - 7C- V U, es. d -,A,' ress- City Statc I Zip Res. Phone: Work- Phonc: , - firvo,,( . ..... . c P� I -'-�i 11 1� flq i Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule 11-1.005�3 you are hereby notified that you are prohibited from (check box): ')g Entering in or using all City of Eugene parks, open spaces or facilities. El The basis for this Notice of Restriction of Use is that on you violated Section 11 — —50-11:)tf the Park and Open Space Rules, and/or Section ?jX a— of the Eugene Code, 197 1, and/or ORS —. 'ro wit, you: I—CAr 2E " 'T r Il O- (Dcscription of the violation.) This restriction wtive beginning on until - of use is effL _, and shall remain in effe ct f f you enter in or use any City of Eugene park, open space or facility during the effective period ofthis, Notice, 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 informal hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Director") within 48 hours (exclusive of weekends) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR 97402. N V81400MIRM11" A 12 nours (exclusive Of WeeKenus) or receipt or Me request Tor nearing. At tne iniortnat nearing ine ivision I Trector Ti I only consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the informal hearing. This Notice shall remain in effect pending any requested hearing. 'This N otice of Exclusion was d elivered to the person narned at the top o this Notice at the d ate and time shown above by: ----- - ----- - - (Signature of person issuing/delivering notice) I hereby acknowledge receipt of the above Notice on the (late and time indicated above. ------------------- ------------- --- g 111 (Si tore of person being issued the notice) Whit,c Copy: Pp Nk: Work4 GrCCnCop)L Pile V el low C opy: R (P urt Cupy Pink Copy� kcoipicnt Gold Copy OfPcer Appral nofice R, -6v- (410-3