|
NOTICE OF RESTRICTION OF USE
<br />DATE:
<br />LOCATION (PARKJOPEN SPACE).
<br />and Notice of Right to Appeal
<br />TIME.
<br />CASE
<br />1.�'
<br />1111111111111 11111�1111 : z 1111, 1,
<br />Entering in or using all City of Eugene parks, open spaces or facilities,
<br />The basis for this Notice of Restriction of Use is that on--D-4&9-[-1S—,you violated Section Ulsy---�f the Park
<br />and Open Space Rules, ajgd/or Section _ of the Eugene Code, 1971, and/or ORS To wit, you:
<br />(Description of the violation.)
<br />Al
<br />This restriction of use is Wective b� ginning on,,,_ and shall remain in effect until
<br />If you enter in or use any City of Euvrene park, open space or facility during the effective period of this Notice, you may be
<br />0
<br />arrested and charged with criminal trespass in the second degree.
<br />Pursuant to Park and Open Space Rule R- 1.074 you are entitled to an informal hearing to contest this Noticc, A request for an
<br />informal 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 />c 1AVIMon rM I SCMUX- u H I LILU LIJIVA111al llkaj L LIU MUM LANT?
<br />72 hours (exclusive of weekends) of receipt of the request for hearing. At the informa I hearing the D ivision D irector wl I I only
<br />consider testimony from you, City personnel involved in the incident that MSUlted 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 infonnal hearing.
<br />Tbis Notice shall remain in effect pending any requested hearing.
<br />This Notice of Exclusion was delivered to the person named at the top of this N
<br />I here acknowledge receipt of the above Notice on the date and time
<br />at the date and time shown above by:
<br />e of person iNAling/delivering notice)
<br />(Signature Of rson being iks the notice)
<br />Whac Cupyi Public Wor6 Green Copy: File Yu I I ow Copy: Repon C opy Pink Copy: Reclpien Gold Capy: Officer Appen I notice Rev, 04/03
<br />Name:, Last First Middle
<br />DOB
<br /><
<br />C4
<br />Res. Address: city
<br />State
<br />k
<br />Zip
<br />Res, Phone:
<br />Work Phone:
<br />1 � -
<br />1111111111111 11111�1111 : z 1111, 1,
<br />Entering in or using all City of Eugene parks, open spaces or facilities,
<br />The basis for this Notice of Restriction of Use is that on--D-4&9-[-1S—,you violated Section Ulsy---�f the Park
<br />and Open Space Rules, ajgd/or Section _ of the Eugene Code, 1971, and/or ORS To wit, you:
<br />(Description of the violation.)
<br />Al
<br />This restriction of use is Wective b� ginning on,,,_ and shall remain in effect until
<br />If you enter in or use any City of Euvrene park, open space or facility during the effective period of this Notice, you may be
<br />0
<br />arrested and charged with criminal trespass in the second degree.
<br />Pursuant to Park and Open Space Rule R- 1.074 you are entitled to an informal hearing to contest this Noticc, A request for an
<br />informal 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 />c 1AVIMon rM I SCMUX- u H I LILU LIJIVA111al llkaj L LIU MUM LANT?
<br />72 hours (exclusive of weekends) of receipt of the request for hearing. At the informa I hearing the D ivision D irector wl I I only
<br />consider testimony from you, City personnel involved in the incident that MSUlted 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 infonnal hearing.
<br />Tbis Notice shall remain in effect pending any requested hearing.
<br />This Notice of Exclusion was delivered to the person named at the top of this N
<br />I here acknowledge receipt of the above Notice on the date and time
<br />at the date and time shown above by:
<br />e of person iNAling/delivering notice)
<br />(Signature Of rson being iks the notice)
<br />Whac Cupyi Public Wor6 Green Copy: File Yu I I ow Copy: Repon C opy Pink Copy: Reclpien Gold Capy: Officer Appen I notice Rev, 04/03
<br />
|