New Search
NOTICE OF RESTRICTION OF GIBE <br />.vad Notice of Right to Appeal <br />DATE: 0 - TIME. CASE <br />LOCATION (PARK/OPFN SPACE). <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005(3), you are hereby <br />notified that you are prohibited from (check box)- <br />�K Entering in or using all City (if Eugene parks, open spaces or facilities. <br />(Description of the violation.) <br />P his restriction of nse is effective beginning on nd shall remain in effect until <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 - you are entitled to an informal hearing to contest this Notice, A request for an <br />informal hearing must be nude 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 time and place for the informal hearing to be conducted, which shall be not more th <br />72 ho1jr- ivw,*,f week-erids IA 4`6=re�jiest. for IiNarinv-ALLW�tifi Izt <br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to t <br />incident The Division Director may exclude anyone, other than you and those presenting testimony, from the informal hearin <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 <br />- _ Mt the =-- <br />(,Signature of 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 Works Careen Copy Fite Yellow Copy: kc on Copy Pink Copy: Recipient 6old Copy; Officer .App of notice Re 04103 <br />Name: Last First Iv fiddle <br />DOB: <br />RacetSe <br />Res city <br />State <br />Zip <br />Res. Phone: <br />Work Phone <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005(3), you are hereby <br />notified that you are prohibited from (check box)- <br />�K Entering in or using all City (if Eugene parks, open spaces or facilities. <br />(Description of the violation.) <br />P his restriction of nse is effective beginning on nd shall remain in effect until <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 - you are entitled to an informal hearing to contest this Notice, A request for an <br />informal hearing must be nude 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 time and place for the informal hearing to be conducted, which shall be not more th <br />72 ho1jr- ivw,*,f week-erids IA 4`6=re�jiest. for IiNarinv-ALLW�tifi Izt <br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to t <br />incident The Division Director may exclude anyone, other than you and those presenting testimony, from the informal hearin <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 <br />- _ Mt the =-- <br />(,Signature of 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 Works Careen Copy Fite Yellow Copy: kc on Copy Pink Copy: Recipient 6old Copy; Officer .App of notice Re 04103 <br />