NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal AC <br />DATE: <br />TIME, Al l ... CASE 4: It <br />. ...... . .. <br />I r I <br />/ I Entering in or using all City of Eugene parks, open spaces or facilities. <br />C <br />The basis for this Notice of Restriction of Use is that on D&Yff—, you violated Section A D/D of the Park <br />and 0 P en Space Rules, and/or Section ofthe Eugene Code, 197 1, and/or ORS To wit, you: <br />f l� <br />Wil <br />(DCSCTiption of the violation.) <br />This restriction of use Ls effective beginning on and shall remain in effect until <br />L&W-1 Ozml <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 Noticc A request for an <br />informal hearing must be made in writing andfiled with the Parks & Open Space Division Director ("the Division DiTector") <br />within 48 hours (exclusive of weekends) ofreceipt 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 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 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, 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 Notice at t jat-1 ie sho above bV: <br />11 <br />Si . . ..... . <br />I, - s ing,� ; e IV <br />ature noticL <br />Sil ature of person is <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />sue t e ice) <br />g is IV <br />zl( d ture of person being; � C <br />WhiIic Copy Public Works Grem Copy. File Yellow Copy. Repon Copy Pink Copy: R06pient Gold Cvpy Officer Appeal nou" Rev_ 04M <br />Naine� -as I"➢rs i dte <br />Aj <br />Df)& <br />R -, `;u <br />X <br />IL <br />Res. �A Ss City <br />r <br />State <br />Zip <br />Res Phoi <br />A;9�� <br />Work Phone: <br />I r I <br />/ I Entering in or using all City of Eugene parks, open spaces or facilities. <br />C <br />The basis for this Notice of Restriction of Use is that on D&Yff—, you violated Section A D/D of the Park <br />and 0 P en Space Rules, and/or Section ofthe Eugene Code, 197 1, and/or ORS To wit, you: <br />f l� <br />Wil <br />(DCSCTiption of the violation.) <br />This restriction of use Ls effective beginning on and shall remain in effect until <br />L&W-1 Ozml <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 Noticc A request for an <br />informal hearing must be made in writing andfiled with the Parks & Open Space Division Director ("the Division DiTector") <br />within 48 hours (exclusive of weekends) ofreceipt 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 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 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, 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 Notice at t jat-1 ie sho above bV: <br />11 <br />Si . . ..... . <br />I, - s ing,� ; e IV <br />ature noticL <br />Sil ature of person is <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />sue t e ice) <br />g is IV <br />zl( d ture of person being; � C <br />WhiIic Copy Public Works Grem Copy. File Yellow Copy. Repon Copy Pink Copy: R06pient Gold Cvpy Officer Appeal nou" Rev_ 04M <br />