NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATE: —0-9-0- (d TIM -Lolc) CASE <br />LOCATION (PARK,'OPHN SPACE):_ Ot"T <br />r Y, <br />;Zdw j <7 <br />Il 111111 111111 111111111111 �� � i:: , <br />�4- Entering in or using all City of Eugene parks, open spaces or facilities. <br />(Description of the violation.) <br />This restriction of use is effective beginning on AuLd-, and shall remain in effect until <br />If` you I in or use any City of Eugene park, open space or facility during the effective period ref` 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 for the info al hearing to be conducted, which shall be not snore than <br />72 hours (exclusive of'weekends ' ) of receipt or the request for hearing, <br />ring, At the informal hearing the Division Director will onl <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 No the date and time shown above by: <br />1 �� I-,f- <br />E <br />I hereby acknowledge receipt oFthc above Notice on the date and time indica <br />(Signature 0 erson being issued the notice) <br />ol'person issuing/delivering notice) <br />M <br />Wbav Copy: Public GVoyb Creen Copy: File, Yellow Copy! Rep ri Copy Pink Copy, Recipient Gold Copv^ 0 f i cer A ppeal not ice Rev, 04,'03 <br />First Middle, <br />DOB� <br />Race/Sex: <br />7 Ck <br />9 <br />Ro� A q: City <br />44 <br />State <br />Stater <br />Zip <br />Rc P hone: <br />Work Phone: <br />Il 111111 111111 111111111111 �� � i:: , <br />�4- Entering in or using all City of Eugene parks, open spaces or facilities. <br />(Description of the violation.) <br />This restriction of use is effective beginning on AuLd-, and shall remain in effect until <br />If` you I in or use any City of Eugene park, open space or facility during the effective period ref` 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 for the info al hearing to be conducted, which shall be not snore than <br />72 hours (exclusive of'weekends ' ) of receipt or the request for hearing, <br />ring, At the informal hearing the Division Director will onl <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 No the date and time shown above by: <br />1 �� I-,f- <br />E <br />I hereby acknowledge receipt oFthc above Notice on the date and time indica <br />(Signature 0 erson being issued the notice) <br />ol'person issuing/delivering notice) <br />M <br />Wbav Copy: Public GVoyb Creen Copy: File, Yellow Copy! Rep ri Copy Pink Copy, Recipient Gold Copv^ 0 f i cer A ppeal not ice Rev, 04,'03 <br />