New Search
NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATE. No 131 <br />TI ME; q <br />C SSE <br />#: —0 <br />LOCATION (PARK/OPEN SPACE) <br />Fm <br />Narne� Last First % <br />DOB: <br />Race,!S <br />X�: <br />Res. Address City <br />State <br />Zip <br />Res. Phone: <br />Work Phonc: <br />gil <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 _j%213Lj__, you violated Section 41 �Iofthel?ark <br />and Open Space Rules, and/or Section AiM of the Eugene Code, 1971, and/or ORS To wit, you: <br />(Description of the 06lation.) <br />This restriction of use is effective beginning on and shall remain in effect until A 1 - 311 <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 />informal hearing must be made in writing and filed with the Parks & Open Space Division Director ("tire 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 informal 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, I <br />This Notice of Exclusion was delivered to the person named at the top of this Noti4 Njhk" daje and time shown above by: <br />(Signature (,) Tp notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above, <br />7A1VV <br />(Signature of person ein 4iss6 the nett ej <br />White Copy Public WoTk Green Copy: File Yellow Copy: Reporl Copy Pink Copy: Recipient Gold Copy : Officer Appeal notice Rev. 04?03 <br />