New Search
Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule -1 .005(3), you are herehy <br />notified that you are prohibited from (check box): <br />F \ — Entering in or using all City of Eugene parks, open spaces or facilities. <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 />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 />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 the date and time shown above by: <br />gidclivering notice) <br />� 4Sg nature son lui�n <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 Coqy: Public Works Green Copy: File Yellow Copy: Report Copy Pink Copy: Recipient Gold Capy. Officer Appeal notice Rev. 04/03 <br />Name- Last First Middle <br />DOB: <br />RaccJs <br />AA t- <br />LU <br />Res. Address: City State <br />Z <br />Zip <br />Res, Phone: <br />Work Phone: <br />P4 <br />7a 7r <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule -1 .005(3), you are herehy <br />notified that you are prohibited from (check box): <br />F \ — Entering in or using all City of Eugene parks, open spaces or facilities. <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 />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 />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 the date and time shown above by: <br />gidclivering notice) <br />� 4Sg nature son lui�n <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 Coqy: Public Works Green Copy: File Yellow Copy: Report Copy Pink Copy: Recipient Gold Capy. Officer Appeal notice Rev. 04/03 <br />