|
NOTICE OF RESTRICTION OF USE
<br />and Notice of Right to Appeal
<br />DATF. 06oMt� TIME: CASE#
<br />LOCATION (PARKIOPEN SPACE):____Vj \4
<br />5A5�41,b5
<br />V
<br />Lk -- I ssn 1"",
<br />notified that you are prohibited from (check box):
<br />Entering in or using all City of Eugene parks, open spaces or facilities.
<br />The basis for this Notice of Restriction of Use is that on OG640� the Park
<br />violated Section R () �
<br />and Open Space Rules, and/or Section DM�_of the Eugene Code, 1971, and/or ORS To wit, you:
<br />eco
<br />(Description of the violation.)
<br />ey� ate
<br />This restriction of use is effective beginning on and shall remain in effect until
<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 />inf'onnal 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 />97402.
<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 infori 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 />c delivering notice)
<br />t,
<br />I i Suu,,
<br />(Sign atu re of s
<br />I hereby acknowledge receipt of the above Notice on the date and tinie indicated above.
<br />(Signature of pei7son being issued the notice)
<br />White Copy: Public Works Green Copy: File Yellow Copy: Report Copy Pink Cupye Recipient Gold Copy, Offii,(-r Appoal nolis,c Rev- 04"03
<br />Naiue; Last irx't Middle
<br />VV -& "r i c fl - -
<br />Cr-
<br />DO F1
<br />0
<br />Race,-'Sex
<br />�L
<br />Res. Addre city
<br />State
<br />Zip
<br />Res. Phone:
<br />Work Phone:
<br />notified that you are prohibited from (check box):
<br />Entering in or using all City of Eugene parks, open spaces or facilities.
<br />The basis for this Notice of Restriction of Use is that on OG640� the Park
<br />violated Section R () �
<br />and Open Space Rules, and/or Section DM�_of the Eugene Code, 1971, and/or ORS To wit, you:
<br />eco
<br />(Description of the violation.)
<br />ey� ate
<br />This restriction of use is effective beginning on and shall remain in effect until
<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 />inf'onnal 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 />97402.
<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 infori 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 />c delivering notice)
<br />t,
<br />I i Suu,,
<br />(Sign atu re of s
<br />I hereby acknowledge receipt of the above Notice on the date and tinie indicated above.
<br />(Signature of pei7son being issued the notice)
<br />White Copy: Public Works Green Copy: File Yellow Copy: Report Copy Pink Cupye Recipient Gold Copy, Offii,(-r Appoal nolis,c Rev- 04"03
<br />
|