NOTICE 01; RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATE: TIME: CASE il <br />1,0CATION (PARK "OPF.'N SPAC'FlY <br />a <br />q qg17 <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 from (check box): <br />Enterincy 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 violated Section the Par]< <br />and Open Space Rules, and/,pr Section of the Eugene ( o - e, 1971, and/or OR To wit, YOU:_ <br />I-- <br />)NO14 7i-A M 4k- I "TU 414 <br />(Description of the violation.) <br />This restriction of tasc is effective bMinning on 04-0 1 and shall remain in effect until_1/o20Z <br />VOL! enter in or use any City ofF.,tivene 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 />L� <br />Pursuant to Park and Open Spa ce Ru R- 1, 074 YOU are entitled to an i n frinnal hean jig to, contest t his Not i cc, Arequesti <br />informal hearing must be imde in writing L,'ind filed with the Parks & Open Space Division Director ("the Division Director <br />within 48 hours (CXCILI'SiVC of'weekends) of receipt of this Notice at the l'ollowing address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Direclor shall schedule a time and place for the informal hearing to be conducted, which shall be not more than <br />72 h0Ljrs (exclusive of weekends) oft ofthe request lor hearing, At the 1rdornial hearing the Division 1-).irector will only <br />consider testimony from you, C , ny personnel involve(,] in the incident that resulted in this Notice, and other Mines e° io the <br />incident. The Division Director rnay exclude anyone, other than you and those presenting testimony, 1rorn the info rinal hearing <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice OfF.'XCILISiOVI WaS ClChvered to the person named at the top of this Notice" is dale and [inie shown above bY <br />pe <br />.1 <br />(Signat 'co pet <br />I hereby' acknowledge recelpt of the above Nwice on the date and tirne indicated above, <br />(Signature ofperson ben iss otice) <br />C, uco�, l <br />Whow ( op Public wojk•, Olecn( vlho Y,c 11,3 w (',, pv R c poi t ( , sta y Pinl ("'p%: loccpunl Gold ( art 011 Cwt AJIJ%L,11 nolue Rck O.2 03 <br />Nara Last first X41111 I Al� <br />DOB <br />R Ice �­e <br />' �s <br />Re""'Vklvess C ity <br />si"Lle <br />Zip <br />Res , lllioxwl <br />Work Phonic: <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 from (check box): <br />Enterincy 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 violated Section the Par]< <br />and Open Space Rules, and/,pr Section of the Eugene ( o - e, 1971, and/or OR To wit, YOU:_ <br />I-- <br />)NO14 7i-A M 4k- I "TU 414 <br />(Description of the violation.) <br />This restriction of tasc is effective bMinning on 04-0 1 and shall remain in effect until_1/o20Z <br />VOL! enter in or use any City ofF.,tivene 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 />L� <br />Pursuant to Park and Open Spa ce Ru R- 1, 074 YOU are entitled to an i n frinnal hean jig to, contest t his Not i cc, Arequesti <br />informal hearing must be imde in writing L,'ind filed with the Parks & Open Space Division Director ("the Division Director <br />within 48 hours (CXCILI'SiVC of'weekends) of receipt of this Notice at the l'ollowing address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Direclor shall schedule a time and place for the informal hearing to be conducted, which shall be not more than <br />72 h0Ljrs (exclusive of weekends) oft ofthe request lor hearing, At the 1rdornial hearing the Division 1-).irector will only <br />consider testimony from you, C , ny personnel involve(,] in the incident that resulted in this Notice, and other Mines e° io the <br />incident. The Division Director rnay exclude anyone, other than you and those presenting testimony, 1rorn the info rinal hearing <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice OfF.'XCILISiOVI WaS ClChvered to the person named at the top of this Notice" is dale and [inie shown above bY <br />pe <br />.1 <br />(Signat 'co pet <br />I hereby' acknowledge recelpt of the above Nwice on the date and tirne indicated above, <br />(Signature ofperson ben iss otice) <br />C, uco�, l <br />Whow ( op Public wojk•, Olecn( vlho Y,c 11,3 w (',, pv R c poi t ( , sta y Pinl ("'p%: loccpunl Gold ( art 011 Cwt AJIJ%L,11 nolue Rck O.2 03 <br />