|
NOTICE OF RESTRICTION OF USE 5\ 0 1 C) )
<br />and Notice of Right to Appeal
<br />Y,
<br />DATE: T IN't E: I/ CASE 4�
<br />LOCATION (PARKJON-'N SPACE):_
<br />Aa..e
<br />Under the authority of Administrative Order No. _0l -24- and Park and Open Space Rule R-1.005(3), you are hereby
<br />notified that you are prohibited from (check box):
<br />Entering in or using all City of Eugene parks, open spaces or facilities.
<br />The basis for this Notice of Restriction of Use is that on You V, iol ated 1°Section 6 the Park
<br />and Open Space Rules, and:/or Section -9,1_4/ TO wit, y ou:
<br />Z��-)f the Eugene Code, 19 and/or OR S
<br />PAD A- lbo4 oW 6051-1 KJ If& PM,4<
<br />(Description of the violation.)
<br />This restriction of use is effective beginning on O�Z6) q and shall remain in effect until I 0 .
<br />11"you enter in or use any City of Eugene park, open space or facility during the ef period of this Notice, you n 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 />infornial hearing musi, be made in writing and fifled with the Parks & Open Space Division Director ("the Division Director")
<br />within 48 hours (exclusive ot of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Fu gene, OR
<br />97402.
<br />The Division Director shall schedule a time and place for the informal hearing to be conducted, which shall be not snore 1
<br />72 hours (exclusive ot'weekends) ofteccipt of the request for hearing. At the inf'onrial 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, I "rom the infonrial hearnig,
<br />This Notice shall remain in effect per 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 />((Signature cal person issin rig/del iver Ing notice)
<br />I hereby acknowledge receipt of the above Notice on the date and kitle indicate(:[ above.
<br />(Signature ofpei being issued tire notice)
<br />While Copy Public WmL, G C i Copy: Fihc y flo" (' Ipy: Rcport Copy INInk Copy: Recipwril Odd Copy: OFT Iccr A) pout rwi(x Kc 0 410)
<br />Narric: Last First Middle
<br />1 1 DOB:
<br />Race/sqxv
<br />Ul
<br />R4,s..-Nddr, Cagy
<br />tit
<br />La
<br />Res. Phone:
<br />Work Phmc�
<br />... .... .. ..
<br />Under the authority of Administrative Order No. _0l -24- and Park and Open Space Rule R-1.005(3), you are hereby
<br />notified that you are prohibited from (check box):
<br />Entering in or using all City of Eugene parks, open spaces or facilities.
<br />The basis for this Notice of Restriction of Use is that on You V, iol ated 1°Section 6 the Park
<br />and Open Space Rules, and:/or Section -9,1_4/ TO wit, y ou:
<br />Z��-)f the Eugene Code, 19 and/or OR S
<br />PAD A- lbo4 oW 6051-1 KJ If& PM,4<
<br />(Description of the violation.)
<br />This restriction of use is effective beginning on O�Z6) q and shall remain in effect until I 0 .
<br />11"you enter in or use any City of Eugene park, open space or facility during the ef period of this Notice, you n 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 />infornial hearing musi, be made in writing and fifled with the Parks & Open Space Division Director ("the Division Director")
<br />within 48 hours (exclusive ot of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Fu gene, OR
<br />97402.
<br />The Division Director shall schedule a time and place for the informal hearing to be conducted, which shall be not snore 1
<br />72 hours (exclusive ot'weekends) ofteccipt of the request for hearing. At the inf'onrial 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, I "rom the infonrial hearnig,
<br />This Notice shall remain in effect per 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 />((Signature cal person issin rig/del iver Ing notice)
<br />I hereby acknowledge receipt of the above Notice on the date and kitle indicate(:[ above.
<br />(Signature ofpei being issued tire notice)
<br />While Copy Public WmL, G C i Copy: Fihc y flo" (' Ipy: Rcport Copy INInk Copy: Recipwril Odd Copy: OFT Iccr A) pout rwi(x Kc 0 410)
<br />
|