New Search
NOTICE OF RESTRICTION OF USE <br />DATE: <br />and Notice of Right to Appeal <br />TIME: I 013 A CASE # <br />If- "ITS <br />LOCATION (PARKJOPEN SPACE): r <br />e ry <br />The basis for this Notice of Restriction of Use is that on " Park <br />------------- L 0 E" --" you Violated Section --QILO 0/" - t <br />and Open Space Rules, and/or Section V. N4 of the Eugene Code, 1971, and/or 0 R _V � r To wit, you: <br />A <br />(Description of the violation.) <br />This restriction of use is effective beginning on (4- e and shall remain in effect untH—;!] � <br />ll'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 />PUNUaln to Park and Open Space Rule R-1.074 you are entitled to an informal hearing to contest this Notice. A request for an <br />info aa.l 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 ofthis Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Director shall schedule a time and place for the informal hearing to be conducted, which shall be not more than <br />72 hours (exclusive of weekends] of receivt of the re4iuest forbearin At the informal hearin the Division Director will only <br />consider testiniony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the <br />incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the informal hearing. <br />This Notice shall remainin effect pending any requested hearing. <br />This Notice of Exclusion was delivered to the person named at the top cif Notice at t > dale and time shown above by: <br />(Signature oll'person issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(Signature of person being issued the notice) <br />White Copy. Public Worka Grcen Copy: File Yellow Copy: Rt�port Copy Pink Copy: Recipient 0 old Copy 0 fficer Appeal ntAiuc Rev- W/03 <br />Name; Last First Middle <br />D I- B <br />RAO e/'ex: <br />Res. Address: City <br />State <br />Zip <br />Res. Phone: <br />Work Phone <br />The basis for this Notice of Restriction of Use is that on " Park <br />------------- L 0 E" --" you Violated Section --QILO 0/" - t <br />and Open Space Rules, and/or Section V. N4 of the Eugene Code, 1971, and/or 0 R _V � r To wit, you: <br />A <br />(Description of the violation.) <br />This restriction of use is effective beginning on (4- e and shall remain in effect untH—;!] � <br />ll'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 />PUNUaln to Park and Open Space Rule R-1.074 you are entitled to an informal hearing to contest this Notice. A request for an <br />info aa.l 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 ofthis Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Director shall schedule a time and place for the informal hearing to be conducted, which shall be not more than <br />72 hours (exclusive of weekends] of receivt of the re4iuest forbearin At the informal hearin the Division Director will only <br />consider testiniony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the <br />incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the informal hearing. <br />This Notice shall remainin effect pending any requested hearing. <br />This Notice of Exclusion was delivered to the person named at the top cif Notice at t > dale and time shown above by: <br />(Signature oll'person issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(Signature of person being issued the notice) <br />White Copy. Public Worka Grcen Copy: File Yellow Copy: Rt�port Copy Pink Copy: Recipient 0 old Copy 0 fficer Appeal ntAiuc Rev- W/03 <br />