New Search
1*110E UFAESIAICIIVI USE <br />and Notice of Right to Appeal <br />M <br />DATE: -- 0 U71 TIME: CASE 4: Lq::� <br />LOCATION (PARKIOPEN <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005(3), you are hereby <br />notified that you are prohibited frorti. (check box): <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />(Description off ie violation.) <br />This restriction of use is effective beginning on —6K9-741 and %hall remain in effect until <br />If you enter in or use any City of Eugene park, opcn space or facility during the effective period of this Notice, you may be <br />arrested wid charged with criminal trespass in the second degree. <br />Pursuant to Park and O pen Space Mul R- 1.074 you are entitled to an informa I hearing to contest this N otice. 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 addresq: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Director shall schedule a tirne and place for the informal hearing to be conducted, which shall be not more th <br />t1L -tquestforhearin At the inl'bormal hearing the Division Director wIll on <br />I <br />consider testimony from you, City personnel involved in the incident that resulted int this Notice, and other witnesses to t <br />inc ident. The Division Director may exclude anyone, other than you and those presentin testimony, from the informal hearin <br />This Notice -,halt remain in effect pending any requested healring. <br />This Notice of Exclusion was delivered to the person named at the top of this Notic I <br />,gAf the date and time shown above by: <br />M <br />of person issuing delivering noticc) <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 Ycllow Copy. Report Copy Pink Copy. Re6pient Gold Copy: Officer Appeal notice Rev tq,,03 <br />F2 <br />Nfid <br />Rac&S! <br />�J <br />Res. A cid re.ss <br />City <br />Start <br />Zip <br />Res, Phone: <br />Work hone: <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005(3), you are hereby <br />notified that you are prohibited frorti. (check box): <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />(Description off ie violation.) <br />This restriction of use is effective beginning on —6K9-741 and %hall remain in effect until <br />If you enter in or use any City of Eugene park, opcn space or facility during the effective period of this Notice, you may be <br />arrested wid charged with criminal trespass in the second degree. <br />Pursuant to Park and O pen Space Mul R- 1.074 you are entitled to an informa I hearing to contest this N otice. 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 addresq: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Director shall schedule a tirne and place for the informal hearing to be conducted, which shall be not more th <br />t1L -tquestforhearin At the inl'bormal hearing the Division Director wIll on <br />I <br />consider testimony from you, City personnel involved in the incident that resulted int this Notice, and other witnesses to t <br />inc ident. The Division Director may exclude anyone, other than you and those presentin testimony, from the informal hearin <br />This Notice -,halt remain in effect pending any requested healring. <br />This Notice of Exclusion was delivered to the person named at the top of this Notic I <br />,gAf the date and time shown above by: <br />M <br />of person issuing delivering noticc) <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 Ycllow Copy. Report Copy Pink Copy. Re6pient Gold Copy: Officer Appeal notice Rev tq,,03 <br />