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
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