NOTICE OF RESTRICTION OF USE <br />and Notice of Riolit to Armeal <br />DATE: <br />LOCATION (PARK"OPUN SPACE)� <br />TIME: - Pfv� CA S E ?Y <br />NS 7-�q <br />Under the authority ofArlyninistrative Order No, 58-03-2441and Park and Open Space Rule R-1.005(3), you are hereby <br />notified that you are prohibited from (check box.): <br />)E� Entering in or using all City of Eugene parks, open spaces or facilities. <br />m <br />-A <br />The basis for this Notice of' 1tcstriction of Use is that, on -1 1- 1 - vou violated Section il of the Park <br />and Open Space Ri.fles, and/or Section T7 t,' Of the [ Code, 1971 , and.1"or ORS T <br />1 - - - --------- 0 Wit, You: <br />j <br />f:� ,7 T, r 11 - - ( <br />(Description ofthe violatiom) <br />This restriction of use is effective beginning on and shall remain in effect until <br />Ifyou enter in or use any City of Eugene park, open space or facility during the effective period ofthis Notice, YOU niay be <br />arrested and chat�ged with criminal trespass in the second degree. <br />PUrsuant to Park and Open Space Rule R-1,074 you are entitled to data informal hearing to contest this Notice, Arcqued tflora.n <br />informal hearma must be made in writina and filed with the Parks & Open Space Division Director ("the Division Director <br />within 48 hours (eXCILISiVC ot'weekends) of receipt of this Notice at the fol1mvingaddress 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Director shall schedule to lime and place for the informal hearing to be conducted, which shalf be not snore than <br />72 hours (exclusive of weekends ) of'receipt of"the request for hearing. At the infiormal 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 inay exclude anyone, other than you and those presenting tem-niony, from the intbirmal hearing, <br />This Notice shall remain in effect pending any requested hearing. <br />'['his Notice ot'Flxclusion was delivered to the person named at the top (if this Notice at the date and tinge shown above hv: <br />(Sigdature ofpers011 iSSLfing/delivering no6ce) <br />I hereby acknowledge receipt ofthe above Notice on the date and time indicated above, <br />(Signature of'person being issued the notice) <br />t4 I I i I C ( ol I , P L I b I ic works Cr CnCop>,: YcHow Cop Repon Copy I'll Cvp� Rccipiew Ooki Copy: Offiaxi App(!A nonce 1 u t , 04 1 13 <br />Name: Last First Middle <br />DOB: <br />Race/ Sea: / <br />4 x <br />Ites, Addresq 'T (Fil <br />Si t a e <br />Zit) <br />Res- Phoiie: <br />Work 1 <br />Y S/ <br />Under the authority ofArlyninistrative Order No, 58-03-2441and Park and Open Space Rule R-1.005(3), you are hereby <br />notified that you are prohibited from (check box.): <br />)E� Entering in or using all City of Eugene parks, open spaces or facilities. <br />m <br />-A <br />The basis for this Notice of' 1tcstriction of Use is that, on -1 1- 1 - vou violated Section il of the Park <br />and Open Space Ri.fles, and/or Section T7 t,' Of the [ Code, 1971 , and.1"or ORS T <br />1 - - - --------- 0 Wit, You: <br />j <br />f:� ,7 T, r 11 - - ( <br />(Description ofthe violatiom) <br />This restriction of use is effective beginning on and shall remain in effect until <br />Ifyou enter in or use any City of Eugene park, open space or facility during the effective period ofthis Notice, YOU niay be <br />arrested and chat�ged with criminal trespass in the second degree. <br />PUrsuant to Park and Open Space Rule R-1,074 you are entitled to data informal hearing to contest this Notice, Arcqued tflora.n <br />informal hearma must be made in writina and filed with the Parks & Open Space Division Director ("the Division Director <br />within 48 hours (eXCILISiVC ot'weekends) of receipt of this Notice at the fol1mvingaddress 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Director shall schedule to lime and place for the informal hearing to be conducted, which shalf be not snore than <br />72 hours (exclusive of weekends ) of'receipt of"the request for hearing. At the infiormal 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 inay exclude anyone, other than you and those presenting tem-niony, from the intbirmal hearing, <br />This Notice shall remain in effect pending any requested hearing. <br />'['his Notice ot'Flxclusion was delivered to the person named at the top (if this Notice at the date and tinge shown above hv: <br />(Sigdature ofpers011 iSSLfing/delivering no6ce) <br />I hereby acknowledge receipt ofthe above Notice on the date and time indicated above, <br />(Signature of'person being issued the notice) <br />t4 I I i I C ( ol I , P L I b I ic works Cr CnCop>,: YcHow Cop Repon Copy I'll Cvp� Rccipiew Ooki Copy: Offiaxi App(!A nonce 1 u t , 04 1 13 <br />