New Search
NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATE: TIME: CASE <br />LOCATION (PARK/OPEN SPACE), 0 0 <br />---------------- - ------ <br />IJ <br />0 <br />211 <br />Naine� Last F i Middl e <br />DOB� <br />R�icc` Sc x: <br />11 � <br />I <br />Res <br />Res- m �i� Add,, City Stole <br />Zip <br />Res- Plimie_ <br />Work Phtmc� <br />-sl <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R- 1 .005(3), you are hereby <br />notified that you are prohibited from (check box): <br />X� Entering in or using all City of Eugene parks, open spaces or facilities. <br />The basis for this Notice of Restrictirni of Use is that on 0 2-V I- you violated Section oft ark <br />and Open Space Rules, andJor Section - V�`/ of the Eugene Code, 197 1, and/or ORS To wit, you._ <br />bAA4 44 Ke I rj -- rws- F—Ac-Gr <br />(Description of the violation.) <br />0 <br />C'55 I � Y <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 lacility during the efl'Mivc period ofthis N(Aice, 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 inifIrtual hearing to contest this Notice. A request for an <br />infornial hearing must be made in writing arid filed with the Parks & Open Space Division Director ("the Division Directoe') <br />within 4 hours, (exclusive. of weekends) of'receipt of this N otice at the following address: 1820 Roosevelt, Blvd., E u gene, 0 R <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 o the request for ficari rig, At the informal head dog the Di vision Director wil 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 narned at the top of this Notice at the date and fiiV show n above by- <br />6 <br />-- - ----- -- <br />(Signature ot'person is-ming/delivering notico) <br />I hereby acknowledge receipt of the above Notice on the date and tinic indicated above, <br />U�JkoLr <br />(Signature of person being issued the notice) <br />Whioe Copy; Public Wc. Green Copy: File Yellow Cojiy Repom Copy Pink Cop Rccipicol Gold Copy: Offl werAppeal notice Rev, o4X6 <br />