|
NOTICE OF RESTRICTION OF USE
<br />and Notice of Right to Appeal
<br />DATE-. 090cl Ir., (.:'ASE
<br />.. . . .................. . I . .. . ............. ........... . -11 . . ..... . . ............. . . . . . .......
<br />LOCATION (PARKJOPEN SPAC!E)�
<br />..... . . . .............. V— . . ....... I ----- . .. . . . .......................... . . . . ....................... . .. . ..... . . . .. .......... . .... .
<br />NarneLast Firm Middle 1)00: -"Sc,
<br />L" e L"�j 0--
<br />Lot
<br />7, 2
<br />Res. Addros: C 115' sGale Zip Re,,. Plume: W(m'k Phone�
<br />Under the authority ofAdministrative Order No. 58-03-24-F and Park and Open Space Rule R-1 M05(3), you arehereby
<br />notified that you are prohibited from (check box).
<br />Entering in or using all City of Eugene parks, open spaces or alit es.
<br />. .. .... .. ........... ......... . .. . ......... ........................... . . . . . . ......... . ...... . . �..
<br />.. .................. ................. . . . . . . . .....
<br />The basis for this Notice of Restriction of tJlse is that on, o9m"
<br />..................... .
<br />and Open Space Rules, arld./orSecticni TO Wif, Y0111:
<br />. . ........ . . . . . . . . . . . ....................
<br />(Description of the viohttionji
<br />This restriction of use is effective beginning on and shall remain in effect untrO . . ...... ............ . ........ A<
<br />If you enter in or use any City of Eugene park., open space or facility during, the effeictive period ofthis Notice, you may ble
<br />arrested and charged with criusinal trespass in the second degree,
<br />Pursuant to Park and Open Space Rule R-1,074 you are entitled to an irdbrnud hearing to Voiltiest this Notk..e. A, request fear, fin
<br />irif'onnal hearing must be made in writing an,S d filed with the Parks & Open , pace.Division Director ("the Divis,!'km Director
<br />within 48 hours (exch,islve of weekends) of receipt of this Notice at Ille follogrin gacldress:: 1820 Roosevelt, B]Vrd., Eugene, OR
<br />97402.
<br />The Division Director shall schedule a time and place for the informal hearing to be conducted, Mdch shall be not iniore thcm
<br />'72 hours; (exclusive of weekends) of receipt of the request For hearing. At the infornial heanng (lie Divimon Director wffl only
<br />consider testirnony from you, (')a
<br />)y personnel involved in the incident that r"ufted in this Notice., and other witnesses to the
<br />incident. The Division Director., may exclude anyone, other than you and. those presenting te; tin -cony, from the infonnal 1-le".u.ing,
<br />This Notice shall remain in effect pending any requested hearing.
<br />This Notice of Exclusion wus delivered to the person narned at the top of this Notice at the date and time shown. af.,Pove by:
<br />. ...............
<br />Signaturc est person isL4tiiiiig/dkllVCLI-ill�", n,',jj,,)
<br />I hereby acknowl.edge rieccipt of theabove Notice oil the date arid time indicated abolve,
<br />(Signature ot"per-son bcing issued thie nicuticeju
<br />W h i Re C.: Opy �. FU h I IC W D11'kS Grevu copy: Fk "Yeflow Cojjp, Copy PIM, (-'opRe6piew Gcdd ("rrrpy, DffiverApea ll nuilicr,r,, Frr,,n' 10*03,
<br />
|