5.28.15 Park Restrictions - Laserfiche WebLink

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NOTICE OF RESTRICTION OF USE and Notice of Right to Appeai DATE: 0-5 1 (a f-s TIME: lWq �Ilmlll� CASE #: LOCATION (PAKJOPEN SPACE)-Qp r R !I 111 3111111 �ilill I , I I I y1liggqI 11 11 ? 11 1!111 iii I IN 11 1 111 R `11� Entering in or using all City of Eugene parks, open spaces or facilities. El The basis for this Notice of Restriction of Use is that on f you violated Section of the Park -1- (Description of the violation.) This restrietion of use is effective beginning on � i. and shall remain in effect until 04) J4? 1-5 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 arrested and charged with criminal trespass in the second degree. 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 be made in writing and filed with the Parks & Open Space Division Director ("the Division Director") within 48 hours (exclusive of weekends) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR 97402. The Division Director shall schedule a time and place for the infor hearing to be conducted, which shall be not more than 72 hours (exclusive of weekends) of receipt of the request for hearing, At the interinal hearing the Division Director will only consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the incident, The Division Director mag exclude anUone, other than you and those yresentinji t��tirriony.,. from the infornial hearin2�, This Notice shall remain in effect pending any requested hearing. (Signature of person 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) While Copy: Public Works Green Copy File Yellow Copy Report Copy Pink Copy: Recipient Gold Copy: Officer Appeal notice Rev 04,03 Nance: Last First Middle DOB: Race/Sex a-X, A c Res. Address: City St ate Res. Phone: Work Phone; !I 111 3111111 �ilill I , I I I y1liggqI 11 11 ? 11 1!111 iii I IN 11 1 111 R `11� Entering in or using all City of Eugene parks, open spaces or facilities. El The basis for this Notice of Restriction of Use is that on f you violated Section of the Park -1- (Description of the violation.) This restrietion of use is effective beginning on � i. and shall remain in effect until 04) J4? 1-5 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 arrested and charged with criminal trespass in the second degree. 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 be made in writing and filed with the Parks & Open Space Division Director ("the Division Director") within 48 hours (exclusive of weekends) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR 97402. The Division Director shall schedule a time and place for the infor hearing to be conducted, which shall be not more than 72 hours (exclusive of weekends) of receipt of the request for hearing, At the interinal hearing the Division Director will only consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the incident, The Division Director mag exclude anUone, other than you and those yresentinji t��tirriony.,. from the infornial hearin2�, This Notice shall remain in effect pending any requested hearing. (Signature of person 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) While Copy: Public Works Green Copy File Yellow Copy Report Copy Pink Copy: Recipient Gold Copy: Officer Appeal notice Rev 04,03