NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />; <br />DATE. z TIME: Ivd YA CASE ff: Pg. <br />LOCATION (PARK/OPEN SPACE): V PKkL N. <br />UUM=1 <br />notified that you are prohibited from (check box): <br />X , Entering in or using all City of Eugene parks, open spaces or facilities. <br />0 <br />The basis for this Notice of Restriction of Use is that on dl , you violated Section ",A of the Park <br />and Open Space Rules, and/or Section of the Eugene Code, 1971 and/or ORS . To wit, you: <br />FA <br />(Description of the violation.) <br />This restriction of use is effective beginning on ,and shall remain in effect until 652&5— <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 Space Rule R-1.074 you are entitled to an informal hearing to contest this Notice. A request for an <br />infori 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 />The Division Director shall schedule a tierce, and place for the informal hearing to be conducted, which shall be not more than <br />72 hours (exclusive of weekends) of receipt of the request for hearing. At the informal hearing the Division Director will only <br />consider testimony 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 remain in effect pending any requested hearing. <br />This Notice of Exclusion was delivered to the person named at the top of this Notice at and time shown above by: <br />(Si 0I'PjrSjRri'iSSUi)ng/d"ring notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated <br />on being/s, ed the notice) <br />White Copy: Public Works Green Copy; File Yellow copy! Report Copy Pink Copy: Rccipient Gold Copy: Officer Appeal notice Re 04403 <br />Name: st 1^1 St Middle <br />D <br />Racclse,\- <br />Res. Address: it;� <br />state <br />1A <br />- <br />Z jp <br />Res. P1 <br />Work IPtcm <br />UUM=1 <br />notified that you are prohibited from (check box): <br />X , Entering in or using all City of Eugene parks, open spaces or facilities. <br />0 <br />The basis for this Notice of Restriction of Use is that on dl , you violated Section ",A of the Park <br />and Open Space Rules, and/or Section of the Eugene Code, 1971 and/or ORS . To wit, you: <br />FA <br />(Description of the violation.) <br />This restriction of use is effective beginning on ,and shall remain in effect until 652&5— <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 Space Rule R-1.074 you are entitled to an informal hearing to contest this Notice. A request for an <br />infori 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 />The Division Director shall schedule a tierce, and place for the informal hearing to be conducted, which shall be not more than <br />72 hours (exclusive of weekends) of receipt of the request for hearing. At the informal hearing the Division Director will only <br />consider testimony 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 remain in effect pending any requested hearing. <br />This Notice of Exclusion was delivered to the person named at the top of this Notice at and time shown above by: <br />(Si 0I'PjrSjRri'iSSUi)ng/d"ring notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated <br />on being/s, ed the notice) <br />White Copy: Public Works Green Copy; File Yellow copy! Report Copy Pink Copy: Rccipient Gold Copy: Officer Appeal notice Re 04403 <br />