New Search
NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DA 11: 'rtML CASE - ft - <br />---------------- <br />LOCATION (PARKIOPF-N SPAC`,F):__ <br />5k 0 vA <br />Ts? <br />I lk - ), 6 -4 Ck <br />U nder the authority of Ad m inistrative Order N o. 58-03-24-F 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 />El <br />of the Park <br />Th e basis for th is Notic e of Re str iction of U se i s fl 19 <br />, iat on you violated Sectio <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 degrec. <br />Pursuant to Park and Open Space Rule R- 1.074 you are entitled to an iril'ormal hearing to contest this Notice, AreqUe.4forass <br />informal hearing most be made in writing and filed with the Parks & Open Space Division Director ("the Division Director") <br />within 49 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 informal hearing to be conducted, which shall be not niorc than <br />72 hours (exclusive of weekends) of receipt ofthe request for hearing. At the informal hearing the Division Director will only <br />consider testimony frorn you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the <br />incident. The Division Director Tllay exclude anyone, other than you and those presenting testimony, trorn 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 ofthis Notice at the date and lirrieshown above by: <br />(Signature of person issuing/defi-ve'rilng notice) <br />I hereby acknowled,ge receipt of the above Notice on the date and finie indicated above, <br />I S I ignatu I re - of pers(o�nbeing issued - the - notice. <br />Mike Copy: Pubh, Wwk� Glc m(opy: File YV145W Copy: Report C opy Pink Copy Kc6picill Oold Copy; Offico App(rid rtu6ce R, , 0,1 "03 <br />Narrie: Lasa First Middle <br />DOB, p <br />Race/Sex: <br />z <br />-T- 4- A <br />Res Addr -ss ale Zip <br />City stale <br />Res. Phone: <br />Work Phone: <br />U nder the authority of Ad m inistrative Order N o. 58-03-24-F 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 />El <br />of the Park <br />Th e basis for th is Notic e of Re str iction of U se i s fl 19 <br />, iat on you violated Sectio <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 degrec. <br />Pursuant to Park and Open Space Rule R- 1.074 you are entitled to an iril'ormal hearing to contest this Notice, AreqUe.4forass <br />informal hearing most be made in writing and filed with the Parks & Open Space Division Director ("the Division Director") <br />within 49 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 informal hearing to be conducted, which shall be not niorc than <br />72 hours (exclusive of weekends) of receipt ofthe request for hearing. At the informal hearing the Division Director will only <br />consider testimony frorn you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the <br />incident. The Division Director Tllay exclude anyone, other than you and those presenting testimony, trorn 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 ofthis Notice at the date and lirrieshown above by: <br />(Signature of person issuing/defi-ve'rilng notice) <br />I hereby acknowled,ge receipt of the above Notice on the date and finie indicated above, <br />I S I ignatu I re - of pers(o�nbeing issued - the - notice. <br />Mike Copy: Pubh, Wwk� Glc m(opy: File YV145W Copy: Report C opy Pink Copy Kc6picill Oold Copy; Offico App(rid rtu6ce R, , 0,1 "03 <br />