8.13.14 Park Restrictions - Laserfiche WebLink

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C I � NOTICE OF RESTRICTION OF USE and Notice of Right to Appeal DATE: TIME: A", CASE #: LOCATION (PARK/0PEN SPACE): L4 / , -z Id' �- irill'i 11111111 'Jilli 1 1111!111!11 11 111 Jill J� iiiiiiii I W Entering in or using all City of Eugene parks, open spaces or facilities. En The basis for this Notice of Restriction of Use is that on A — , you violated Section 0 of the Park A and Open Space Rules, and/or Section Y-161- of the Eugene Code, 1971, and/o• ORS —, To wit, you. W r- (Description of the violation.) V4X ' s) This restriction of use is effective beginning on — 4 � I and shall remain in effect until A-1 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 arrested and charged with criminal trespass in the second degree, Pursuant to Park and Open Space Rule R� [.074 you are entitled to an informal hearing to contest this Notice. A request for , informal hearing must be made in writing and Filed with the Parks & Open Space Division Director ("the Division Director or The Division Director shall schedule a time and place for the informal hearing to be conducted, which shall be not inare than 72 hours (exclusive of weekends) of receipt of the request for hearing. At the informal hearing the Division Director wil I only consider testimony ftorn you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the incident. The Division Director inay exclude anyone, other than you and those presenting testimony, froin the informal hearing. This Notice, shall remain in effect pending any requested hearing. This Notice of Exclusion was delivered to the person named at the top of this Notice t c date and time shown above by: -1 47Y (Signature of person issuing/delivering noticc) I hereby acknowledge receipt of the above, Notice on the date and time indicated above. Lo I (Signature of person being issued The notice) White Copy Pub Works Green Copy: file Yd1ow Copy! Report Copy Pink Copy: Recipimt Gold Copy! Officer Appeal notice Rev% 04,01 Namc; Last First Middle DC Race ,"SI: fT)4 --SM Res. Address: City State Zip Res. phone: Work Phonc: irill'i 11111111 'Jilli 1 1111!111!11 11 111 Jill J� iiiiiiii I W Entering in or using all City of Eugene parks, open spaces or facilities. En The basis for this Notice of Restriction of Use is that on A — , you violated Section 0 of the Park A and Open Space Rules, and/or Section Y-161- of the Eugene Code, 1971, and/o• ORS —, To wit, you. W r- (Description of the violation.) V4X ' s) This restriction of use is effective beginning on — 4 � I and shall remain in effect until A-1 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 arrested and charged with criminal trespass in the second degree, Pursuant to Park and Open Space Rule R� [.074 you are entitled to an informal hearing to contest this Notice. A request for , informal hearing must be made in writing and Filed with the Parks & Open Space Division Director ("the Division Director or The Division Director shall schedule a time and place for the informal hearing to be conducted, which shall be not inare than 72 hours (exclusive of weekends) of receipt of the request for hearing. At the informal hearing the Division Director wil I only consider testimony ftorn you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the incident. The Division Director inay exclude anyone, other than you and those presenting testimony, froin the informal hearing. This Notice, shall remain in effect pending any requested hearing. This Notice of Exclusion was delivered to the person named at the top of this Notice t c date and time shown above by: -1 47Y (Signature of person issuing/delivering noticc) I hereby acknowledge receipt of the above, Notice on the date and time indicated above. Lo I (Signature of person being issued The notice) White Copy Pub Works Green Copy: file Yd1ow Copy! Report Copy Pink Copy: Recipimt Gold Copy! Officer Appeal notice Rev% 04,01