4.7.15 Park Restrictions - Laserfiche WebLink

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notified that you are prohibited from (check box): Entering in or using all City of Eugene parks, open &paeies or facilities. (Ise The basis for this Notice of Restriction of Use is that on 0 1 9L Xr you vio S e ction __ o the Park and Open Space Rules, and/or Section _V, c of the Eugene Code, 1971, and/or OR S _-, To wit, you: k (Description of the violation.) This restriction of use is effective beginning on OV Calr - and shall remain in effect until 0 _('C - jLL< 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 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 informal hearing most be made in writing and riled with the Parks &_ Open Space Division Director ("the Division Director") within 48 hours (exclusive of weekends) of receipt of this Notice at the following address: 1820 Roosevelt., Blvd., Eugene, OR 97402. I z riours �77ciuslve It 7777711M) 77 7:1771vt 01 tile I cqtcm 101 item At L t I tc I j I, V consider testiniony 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 infonnal 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 date and time shown above by: /I (Signature of person issuing/delivering notice) I hereby acknowledge receipt of the above Notice on the date and time indicated above- (Signature of person being issued the notice) White Copy: Pub is Workq Green Copy: File Yvflow COPY! Rerx rt Copy Pink Copy� Recipient Gold Copy: Officer Appeal notice R"_ 04/03 Naine: Last First Middle DOB: Race/.I�e �i UAZAS�,� 'r, Res. Address: City :E= Mate Zip Rcs. Phone: Work Phone: — Ti"" sr-,_c notified that you are prohibited from (check box): Entering in or using all City of Eugene parks, open &paeies or facilities. (Ise The basis for this Notice of Restriction of Use is that on 0 1 9L Xr you vio S e ction __ o the Park and Open Space Rules, and/or Section _V, c of the Eugene Code, 1971, and/or OR S _-, To wit, you: k (Description of the violation.) This restriction of use is effective beginning on OV Calr - and shall remain in effect until 0 _('C - jLL< 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 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 informal hearing most be made in writing and riled with the Parks &_ Open Space Division Director ("the Division Director") within 48 hours (exclusive of weekends) of receipt of this Notice at the following address: 1820 Roosevelt., Blvd., Eugene, OR 97402. I z riours �77ciuslve It 7777711M) 77 7:1771vt 01 tile I cqtcm 101 item At L t I tc I j I, V consider testiniony 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 infonnal 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 date and time shown above by: /I (Signature of person issuing/delivering notice) I hereby acknowledge receipt of the above Notice on the date and time indicated above- (Signature of person being issued the notice) White Copy: Pub is Workq Green Copy: File Yvflow COPY! Rerx rt Copy Pink Copy� Recipient Gold Copy: Officer Appeal notice R"_ 04/03