4.15.15 Park Restrictions - Laserfiche WebLink

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111Y lei" NOTICE OF RESTRICTION OF USE and Notice of Right to Appeal DATF: TIME: CASE #- LOCATION (PARKWEN SPACE): W T PAW'— 41 iA4)4 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): W The basis for this Notice of Restriction of Use is that on W 0 V 1 , you. violated Section I v(1 )_ of the Park and Open Space Rules, and/or Section -2. of the Eugene Code, 1971, and/or ORS To wit, you: CA`I" J L 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 must bc made in writing and filed with the Parks & Open Space Division Director ("the Division Director"') within 48 hours (exclusive of weekends) of'reccipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR 97402, The Division Director shalt schedule a time and place for the informal hearing to be conducted, which shall be not more than 72 hours (exclusive of weekends) of receipt of the request for hearing. At the informal hearing the Division Director will only com 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 ci Exc 1 on was delivered to the person narned at the top of this Notice at date and time shown above by.- (Signature ofperson 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) Wilke copy: Public Works Green copy File Yollow Uopy: Rport CcTy Pink Copy: Recipient Gold Copy: Officer Appeal nonce kcr 041�03 Name: Last First Middle DOB Race's-, �fl L4 1 G k ALK JE L 0 W Res. Address: city stite Zip Res. Phone: Work Phone: A t N, 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): W The basis for this Notice of Restriction of Use is that on W 0 V 1 , you. violated Section I v(1 )_ of the Park and Open Space Rules, and/or Section -2. of the Eugene Code, 1971, and/or ORS To wit, you: CA`I" J L 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 must bc made in writing and filed with the Parks & Open Space Division Director ("the Division Director"') within 48 hours (exclusive of weekends) of'reccipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR 97402, The Division Director shalt schedule a time and place for the informal hearing to be conducted, which shall be not more than 72 hours (exclusive of weekends) of receipt of the request for hearing. At the informal hearing the Division Director will only com 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 ci Exc 1 on was delivered to the person narned at the top of this Notice at date and time shown above by.- (Signature ofperson 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) Wilke copy: Public Works Green copy File Yollow Uopy: Rport CcTy Pink Copy: Recipient Gold Copy: Officer Appeal nonce kcr 041�03