|
NOTICE OF RESTRICTION OF USE
<br />and Notice of Right to Appeal
<br />DATE: U1 10 201 q TIME _L CASE #: H - 3 1,617
<br />I,OCATION(PARK/OPFNSPACE):C.MT_?Ao �-_
<br />Under the authority of Admiulstrative Order No. 58-03-24-F and Park and Open Space Ruie R-1.005(3), you are bereby
<br />notified that you are prohibited from (check box):
<br />Entering in or using all City of Eugene parks, open spaces or facilities,
<br />0
<br />The basis for this Notice of Restriction of Use is that on -0-1 ---------------- - ---- ., you violated Section 1 of the Park
<br />and Open Space Rules, and/or Section q , i90 of the EUgCne Code, 1971, and/or OR To wit, you:
<br />6 1 A 4,LA-5 Mb LZ IAL 7 M41K
<br />Pursuant to Park and Open Space Rule R - you are, entitled to an itiformal hearing to contest this Notice, Arequest for an
<br />informal 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, Olt
<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 info al hearing the Division Director will only
<br />consider testiniony from you, City personnel involved in the incident that resulted in this Notice, and other witnesqc. to the
<br />incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the info al heari ng.
<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 />(Signature of person issuing,/delivering notice)
<br />I hereby acknowledge receipt of the above Notice on the date and time indicated above.
<br />,
<br />(Signature of person h eir } iss ued -- ss U�e the notice)
<br />Wh i se Copy I P u b I i c WorL , (Aven Copy, File Yellow Uopy Repwl Copy Fink Copy Recipient Gold Copy: Officer Aprw, noticp Rev, 04A)3
<br />ame Last First Middle
<br />DM
<br />Race. ex-
<br />Z t%AKtAii KECCH
<br />b2- D 9 4 � 7 f 1`1
<br />ph
<br />i
<br />R es, A ddress -, C��
<br />di p
<br />Res. Phone:
<br />Work Phont-
<br />5qt 372A a,3-71
<br />Under the authority of Admiulstrative Order No. 58-03-24-F and Park and Open Space Ruie R-1.005(3), you are bereby
<br />notified that you are prohibited from (check box):
<br />Entering in or using all City of Eugene parks, open spaces or facilities,
<br />0
<br />The basis for this Notice of Restriction of Use is that on -0-1 ---------------- - ---- ., you violated Section 1 of the Park
<br />and Open Space Rules, and/or Section q , i90 of the EUgCne Code, 1971, and/or OR To wit, you:
<br />6 1 A 4,LA-5 Mb LZ IAL 7 M41K
<br />Pursuant to Park and Open Space Rule R - you are, entitled to an itiformal hearing to contest this Notice, Arequest for an
<br />informal 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, Olt
<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 info al hearing the Division Director will only
<br />consider testiniony from you, City personnel involved in the incident that resulted in this Notice, and other witnesqc. to the
<br />incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the info al heari ng.
<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 />(Signature of person issuing,/delivering notice)
<br />I hereby acknowledge receipt of the above Notice on the date and time indicated above.
<br />,
<br />(Signature of person h eir } iss ued -- ss U�e the notice)
<br />Wh i se Copy I P u b I i c WorL , (Aven Copy, File Yellow Uopy Repwl Copy Fink Copy Recipient Gold Copy: Officer Aprw, noticp Rev, 04A)3
<br />
|