NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATE: I Ql ) L f ) q TIME- __74�9 CASE ft-, 1 / T� j I <br />LOCATION (PARK/OPF'N SPACL):_eAs 1, 13L.Ock's <br />�v � 119� k 3 <br />Ui the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule 11-1.005(3), you are hereby <br />notified that you are prohibited from (check box)- <br />X Entering in or using all City of Eugene parks, open spaces or facilities. <br />I* <br />The basis for this Notice ol'Restriction of Use is that on you violated Section of the Park <br />Open Space Rules, and/or Section of the <br />(Description of the violation.) <br />This restriction of use is effective beginning on <br />If you enter in or use any City offitigene park, operi space or facility during the effective period of` this Notice, you may be <br />arrested and charged with cru 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 />informal hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Director") <br />within 48 hours (eXCILISiVe 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 acrd place for the informal hearing to be conducted, which shall be not more than <br />72 hours (exclusive of weekends) ofreceipt ofthe 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 11 <br />incident. 1'he Division Director may exc bide anyone, other than you and those presenting testirriony, frorri the informal hearing. <br />This Notice shall remain in effect pending any recluested hearing. <br />'his Notice of F'xclusicin was delivered to the person named at the top of this Notice ate and time shown above bv: <br />d <br />------ ---- ---------- <br />;_" <br />(Signature of re issriuny/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above, <br />f Si e 1r orsou being issued the not _� cc) <br />are, Code, 197 1, and/or OR ___ . .......... 1 wit, you:_ <br />While 4 opy: 'uMic Woik, Oroon(,'opy: File Yzllow Uap 6 q)orl Copy Nut, Copy: Rccipienr CioM Oqiy: Offirier Appeal ihfice Rev- f 14l 0_1 <br />Na m e , t <br />N, Fin, I i` ldI <br />L l <br />Jr­ss C1 <br />zill <br />RWIN <br />W", Wk( <br />Ui the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule 11-1.005(3), you are hereby <br />notified that you are prohibited from (check box)- <br />X Entering in or using all City of Eugene parks, open spaces or facilities. <br />I* <br />The basis for this Notice ol'Restriction of Use is that on you violated Section of the Park <br />Open Space Rules, and/or Section of the <br />(Description of the violation.) <br />This restriction of use is effective beginning on <br />If you enter in or use any City offitigene park, operi space or facility during the effective period of` this Notice, you may be <br />arrested and charged with cru 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 />informal hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Director") <br />within 48 hours (eXCILISiVe 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 acrd place for the informal hearing to be conducted, which shall be not more than <br />72 hours (exclusive of weekends) ofreceipt ofthe 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 11 <br />incident. 1'he Division Director may exc bide anyone, other than you and those presenting testirriony, frorri the informal hearing. <br />This Notice shall remain in effect pending any recluested hearing. <br />'his Notice of F'xclusicin was delivered to the person named at the top of this Notice ate and time shown above bv: <br />d <br />------ ---- ---------- <br />;_" <br />(Signature of re issriuny/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above, <br />f Si e 1r orsou being issued the not _� cc) <br />are, Code, 197 1, and/or OR ___ . .......... 1 wit, you:_ <br />While 4 opy: 'uMic Woik, Oroon(,'opy: File Yzllow Uap 6 q)orl Copy Nut, Copy: Rccipienr CioM Oqiy: Offirier Appeal ihfice Rev- f 14l 0_1 <br />