New Search
NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATE: <br />TIME: C " <br />CASE #: / <br />11 <br />LOCATION (PARK/OPEN SPACE):- <br />notiFied that you are prohibited rrorn (check box): <br />' V!k Entering in or using all City of Eugene parks, open spaces orfacififies. <br />*1 <br />The basis for this Notice of Restriction of Use is that on —Uft9--1 you violated Section I 0(!PQ0of the Park <br />and Open Space Rules, and./kit Section 9. Xil -- of the Eugene Code, 1971, anWor ORS . To wit, you:_ <br />(Description of the violation.) <br />This restriction of use is effective beginning on VWN--, and shall remain in effect until �". <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 al hearing to contest this Notice. 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 inlJormal hearing to be conducted, which shall be not more than <br />'Lor h At the in formal hearing L Division Director will only <br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and offier witnesses to the <br />incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the informal hearing. <br />This Noticeshall 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 />1 �k <br />(Signature of person issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(Signature of person being issued the notice) <br />White Copy: Public Works Green Copy: File Yellow Copy: ReNrL Copy Pink Copy: Recipicn G oid Copy: 0 ffi cer A ppea l notice R,•%, 04V <br />Name: Last First Middle <br />DOB� <br />U <br />Res. Address: City <br />State <br />Zip <br />Res. Plionc' <br />Work Photic: <br />C f 1'�f <br />notiFied that you are prohibited rrorn (check box): <br />' V!k Entering in or using all City of Eugene parks, open spaces orfacififies. <br />*1 <br />The basis for this Notice of Restriction of Use is that on —Uft9--1 you violated Section I 0(!PQ0of the Park <br />and Open Space Rules, and./kit Section 9. Xil -- of the Eugene Code, 1971, anWor ORS . To wit, you:_ <br />(Description of the violation.) <br />This restriction of use is effective beginning on VWN--, and shall remain in effect until �". <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 al hearing to contest this Notice. 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 inlJormal hearing to be conducted, which shall be not more than <br />'Lor h At the in formal hearing L Division Director will only <br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and offier witnesses to the <br />incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the informal hearing. <br />This Noticeshall 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 />1 �k <br />(Signature of person issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(Signature of person being issued the notice) <br />White Copy: Public Works Green Copy: File Yellow Copy: ReNrL Copy Pink Copy: Recipicn G oid Copy: 0 ffi cer A ppea l notice R,•%, 04V <br />