New Search
LOCATION (PARKJOPEN SPACE):,j]hj__ffiRK, �& <br />�XkLj_ <br />nut I <br />notifled that you are prohibited from (check box): <br />_�Y Entering in or using all City of Eugene parks, open spaces or facilities. <br />IN <br />(Description of the violation.) <br />This restriction of use is effective beginning on 71101iq and shall remain in effect until <br />r IF 1 9 <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 -1.074 you are entitled to an informal heating to contest this Notice, A request for an <br />info al hearing must be made in writing and filed with the Parks & Open Space Division, Director ("the Division Director <br />within 49 hours (exclusive of weekends) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Directior s hall schedule: a than and place for the infibri 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 infornial hearing the Division Director will only <br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnes-ses- to the <br />incident, The Division Director may exclude anyone, other than you and those presenting testimony, firom the info, nasal 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 />fSi gnature of person issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />— ------ - ----- ---------- <br />(Signature o erS heirs issued the notic) <br />WhRe C'upy, P"hljC Works Gre�,m Copy! File Yellow Copy: Report Copy. Pink Copy: Recipient Gold Copy: Officer App�,al nGijce Rev, 04M <br />Naine, Last First Middle <br />DOB: <br />Rage Sex: <br />A - 77M JR C o f 7 G <br />1,2/7/St <br />Res- Address: city <br />State <br />Zip <br />Res, Pbone: <br />Work Phone: <br />nut I <br />notifled that you are prohibited from (check box): <br />_�Y Entering in or using all City of Eugene parks, open spaces or facilities. <br />IN <br />(Description of the violation.) <br />This restriction of use is effective beginning on 71101iq and shall remain in effect until <br />r IF 1 9 <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 -1.074 you are entitled to an informal heating to contest this Notice, A request for an <br />info al hearing must be made in writing and filed with the Parks & Open Space Division, Director ("the Division Director <br />within 49 hours (exclusive of weekends) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Directior s hall schedule: a than and place for the infibri 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 infornial hearing the Division Director will only <br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnes-ses- to the <br />incident, The Division Director may exclude anyone, other than you and those presenting testimony, firom the info, nasal 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 />fSi gnature of person issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />— ------ - ----- ---------- <br />(Signature o erS heirs issued the notic) <br />WhRe C'upy, P"hljC Works Gre�,m Copy! File Yellow Copy: Report Copy. Pink Copy: Recipient Gold Copy: Officer App�,al nGijce Rev, 04M <br />