New Search
NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appen] <br />DTP: ITP: 1 TIME: CASE <br />0 <br />LOCATION (PARK/OPEN SPACE): <br />b,�S f ZC)33q <br />- 113 <br />NQ ? <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule 1 -1.005( you are hereby <br />not Bred that you are prohibited from (check box): <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />and Open Space Rules, and/or Section of" the Fugcnq t,d , 1971,,tnA/or ORS <br />0 <br />(Description of the violation.) <br />This restriction of use is effective beginning on 6707tq <br />e5 and shrill remain in effect until <br />To Wit VOU: <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 info rma I hearing to contest this Notice. A request for an <br />informal hearing must be made in writing and Cited with the Parks & Open Space Division Director ("the Division Director") <br />within 48 hours (exclusive of weekends) of receipt of thi Noti ce at the to] I owing address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Divislou Director shall schedule a time and place far the informal hearing to be conducted, which shalt 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, frorn the info al hearin <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of Exclusion was delivered to the persou named at the top of this c e at the date and time shown above by: <br />attire of person issuing/deliveriniz native) <br />I hereby acknowledge receipt of the above Notice on the date and tinie i <br />(Signature of person ein p stied <br />White C oati) : Pub I i c Workn Green Copy File Yellow Copy: Rpcfft Copy P i i k C ,, py: Reu ip it"Ilt G cAd ( upy: 0 M c a ppeal ma icc Rc,�, 0V03 <br />Namc� Last H ittdje <br />DOB� <br />Dace/ sex. <br />LY U <br />U <br />LU <br />Res. Address: city <br />State Zip <br />Res. Phone: <br />Work Phone: <br />0� <br />T <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule 1 -1.005( you are hereby <br />not Bred that you are prohibited from (check box): <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />and Open Space Rules, and/or Section of" the Fugcnq t,d , 1971,,tnA/or ORS <br />0 <br />(Description of the violation.) <br />This restriction of use is effective beginning on 6707tq <br />e5 and shrill remain in effect until <br />To Wit VOU: <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 info rma I hearing to contest this Notice. A request for an <br />informal hearing must be made in writing and Cited with the Parks & Open Space Division Director ("the Division Director") <br />within 48 hours (exclusive of weekends) of receipt of thi Noti ce at the to] I owing address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Divislou Director shall schedule a time and place far the informal hearing to be conducted, which shalt 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, frorn the info al hearin <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of Exclusion was delivered to the persou named at the top of this c e at the date and time shown above by: <br />attire of person issuing/deliveriniz native) <br />I hereby acknowledge receipt of the above Notice on the date and tinie i <br />(Signature of person ein p stied <br />White C oati) : Pub I i c Workn Green Copy File Yellow Copy: Rpcfft Copy P i i k C ,, py: Reu ip it"Ilt G cAd ( upy: 0 M c a ppeal ma icc Rc,�, 0V03 <br />