NOTICE OF RESTRIcrION OF USE <br />and Notice of bight to Appeal <br />DATE: <br />LOCATION (PARK/OPEN SPACE): <br />TIME- qj-sem <br />CASE #: ) Ll - - 2-1 to 9 7 <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 />X <br />The basis for this Notice of Restriction of Use is that on 121 7 J14 , you violated Section 6 t 2 - ; of the Park <br />and Open Space Rules, and/or Section 6 � , 2,CAD of the Eugene Code, 1971, and/or ORS To wit, you- <br />RkA(4�t r C i K3 A 'T 1,�J Ckt,J <br />(Description of the violation.) <br />This restriction of use is effective beginning on Lqli IL4 and shall rernain in effect until Of 1 <br />2� _L_ <br />If you enter in or use any City of Eugene 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 />Pursuant to Park and Open Spacc Rule R -1.074 you are entitled to an info rma I hearing to contest this Notice. A request for an <br />info al hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Director <br />within 48 hours (exclusive of weekends) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />I— H0111s, kCAC1JVSJVt: 01 WVVkCHU��j U1 1VCC1PL U1 LIM 1CqLCM 1U1 Hl <br />,- �onsider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to h <br />t c <br />i nci dent. The Division Director ma,� ex elude anXone . other th a n Wou a nd th ose from the informal hearing. <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice ol'Exclusion was delivered to the person narned at the top of this Notice at the date and time shown above by: <br />- -- I- <br />(S' , ature oll'person issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and brae indicated above. <br />I e 1) <br />(Signature of person being issued the notice) <br />White Copy: Public Works fircen Copy: File Yellow Copy; Report Copy Pink Copy: R"ipicn! Gold Copy: OfftcL-r Appeal nctuce Rev, tW03 <br />Nanic: Last <br />First <br />'SAM C <br />Middle <br />i <br />7 <br />Race/sc�: <br />F <br />o -j <br />03b <br />. . .... <br />Res, Address: <br />pity <br />State_ <br />Zip <br />Res. Phone: <br />W0Tk Phone: <br />tlk <br />7Y7 <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 />X <br />The basis for this Notice of Restriction of Use is that on 121 7 J14 , you violated Section 6 t 2 - ; of the Park <br />and Open Space Rules, and/or Section 6 � , 2,CAD of the Eugene Code, 1971, and/or ORS To wit, you- <br />RkA(4�t r C i K3 A 'T 1,�J Ckt,J <br />(Description of the violation.) <br />This restriction of use is effective beginning on Lqli IL4 and shall rernain in effect until Of 1 <br />2� _L_ <br />If you enter in or use any City of Eugene 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 />Pursuant to Park and Open Spacc Rule R -1.074 you are entitled to an info rma I hearing to contest this Notice. A request for an <br />info al hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Director <br />within 48 hours (exclusive of weekends) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />I— H0111s, kCAC1JVSJVt: 01 WVVkCHU��j U1 1VCC1PL U1 LIM 1CqLCM 1U1 Hl <br />,- �onsider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to h <br />t c <br />i nci dent. The Division Director ma,� ex elude anXone . other th a n Wou a nd th ose from the informal hearing. <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice ol'Exclusion was delivered to the person narned at the top of this Notice at the date and time shown above by: <br />- -- I- <br />(S' , ature oll'person issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and brae indicated above. <br />I e 1) <br />(Signature of person being issued the notice) <br />White Copy: Public Works fircen Copy: File Yellow Copy; Report Copy Pink Copy: R"ipicn! Gold Copy: OfftcL-r Appeal nctuce Rev, tW03 <br />