12.1.14 Park Restrictions - Laserfiche WebLink

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NOTICE OFRESTR ACT ION OF USE DATE: CASE - — --------- LOCATION (PARKIOPEN SPACE): Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005(3), you are hereby notified that you are prohibited from (check box)- Entering in or using all City of Eugene parks, open spaces or facilities. I ' The basis for this Notice of Restriction of Use is that on you violated Section 0 ' ONe Park I?cv and Open Space Rules, and/or Section q 7 f the Eugene Code, 1971, and/or ORS —. To wit, you,— arrested and charged with criminal trespass in the second degree. 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 within 48 hours (exclu sive, of wee kends) of receipt of this Notice at the following address: 1820 Roosev elt, Blvd., E ugene, OR 97402. The Division Director shall schedule a time and place for the informal hearing to be conducted, which shall be not more than 72 hours (exclusive of weekends) ot'receipt of the request for hearing. At the informal hearing the Division irector will only consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the informal hearing, This Notice shall remain in effect pending any requested hearing. This Notice of Exclusion was delivered to the person named at the top of this Notice at the (late and time shown above by (Si gnature of person issuinWdelivering notice) I hereby acknowledge receipt of the above Notice on the date and time indicated above. (S l a ure o person being issued the notice) " 00 White Copy: Pub] it: Work- s Green Cupy: File Yellow C=opy Repon C opy Pink Copy: Recipient Gol Copy: Officer Appeal notice Rev, 04 03 Name. Last First Middle DOB� Race. Nex Rq. AddTeSS: City /6 Zz5 EV4 S tate Zip Res. Phone: Work Phone� Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005(3), you are hereby notified that you are prohibited from (check box)- Entering in or using all City of Eugene parks, open spaces or facilities. I ' The basis for this Notice of Restriction of Use is that on you violated Section 0 ' ONe Park I?cv and Open Space Rules, and/or Section q 7 f the Eugene Code, 1971, and/or ORS —. To wit, you,— arrested and charged with criminal trespass in the second degree. 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 within 48 hours (exclu sive, of wee kends) of receipt of this Notice at the following address: 1820 Roosev elt, Blvd., E ugene, OR 97402. The Division Director shall schedule a time and place for the informal hearing to be conducted, which shall be not more than 72 hours (exclusive of weekends) ot'receipt of the request for hearing. At the informal hearing the Division irector will only consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the informal hearing, This Notice shall remain in effect pending any requested hearing. This Notice of Exclusion was delivered to the person named at the top of this Notice at the (late and time shown above by (Si gnature of person issuinWdelivering notice) I hereby acknowledge receipt of the above Notice on the date and time indicated above. (S l a ure o person being issued the notice) " 00 White Copy: Pub] it: Work- s Green Cupy: File Yellow C=opy Repon C opy Pink Copy: Recipient Gol Copy: Officer Appeal notice Rev, 04 03