LOCATION (PARK/OPEN SPACE.): <br />� �-c6 R <br />Ila .1114011ce 01 MgHt to Appeal <br />11 M, E _ CASE #-: <br />--- - ------ <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule - 1.005(W3), you are herebN <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 Restriction of Use is that ont) 4 —, you violated Section I "Dm -9YC - he Park <br />and Open Space Rules 11nd/or Section of the Eu Code, 197 1, and/or ORS To wit, you-._ <br />M, <br />This restriction of use is emcOve beginning on and swil remain in emer until 1*7 <br />6 �t <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 ("the 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 t.'(-)r 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 wiH 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 named at the top of this Notiec the, e shown above by: <br />et <br />i, uu, <br />V <br />(Signature of p ls <br />erson . uIng/deliverin '?notice) <br />I hereby acknowledge receipt of the above Notice on the data and time indicated abo , <br />Dov <br />�Si Ynature person being issuccl the nobec) <br />Afi- t V ,I'Li <br />White Copv Public Works Grocn Cvpy File Yellow Copy: Report Copy Pink Copy, Recipient Ci ol d Cop 0 ffic�r Appe 0 notice Rev- 04,03 <br />Name: LasL First J <br />AAJ 1 r <br />DOB , <br />6 v 7673 <br />Race" <br />L-i <br />Re re" City <br />State <br />71P Zip <br />Rm Phone <br />t"o <br />Work Phone: <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule - 1.005(W3), you are herebN <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 Restriction of Use is that ont) 4 —, you violated Section I "Dm -9YC - he Park <br />and Open Space Rules 11nd/or Section of the Eu Code, 197 1, and/or ORS To wit, you-._ <br />M, <br />This restriction of use is emcOve beginning on and swil remain in emer until 1*7 <br />6 �t <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 ("the 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 t.'(-)r 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 wiH 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 named at the top of this Notiec the, e shown above by: <br />et <br />i, uu, <br />V <br />(Signature of p ls <br />erson . uIng/deliverin '?notice) <br />I hereby acknowledge receipt of the above Notice on the data and time indicated abo , <br />Dov <br />�Si Ynature person being issuccl the nobec) <br />Afi- t V ,I'Li <br />White Copv Public Works Grocn Cvpy File Yellow Copy: Report Copy Pink Copy, Recipient Ci ol d Cop 0 ffic�r Appe 0 notice Rev- 04,03 <br />