New Search
ICA <br />NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATE� TIME: <br />("AL'SE 4� <br />------ . ............. . ...... <br />LOCATION (PARK/OPEN �S PACE):_ <br />- — — ----------------- . ..... ------ <br />.. . . ....... <br />Name: Last Fina Middle D013:Ra c e/S e N <br />z <br />Res,. Address: City State Zip Res. Phone: WDY'k Phone: <br />. ......... <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005(3), you are herehy, <br />notified that you are prohibited from (check box): <br />>1 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 <br />- you violated Section L), a -,0- of the, Park <br />and Open Space Rules, and/or SectionAofthe Eugene Code, 197 1, and/or ORS T'ic) wit, you. <br />.. .. .................... ... <br />.............. <br />........................ .7 ........... t LA A . ......................................... . . . ............ ......... . ..... <br />(Description of the violation.) <br />J <br />This restriction of use is effective beginning on andsitailremaiiiinef"fL�ctutjtiI <br />IfYou enter ill or use any 'City of Eugene park, open space or fiaciiity during the effectivic period I this Notice, you rns.,)y be <br />arrested and charge(,] with criminal trespass in the second dcgree,, <br />Pursuant to Park and Open Space Rule R-1.074 you are entitled to an informal hearing to contestthis Notice. <br />infortnal hearing rnUSt he trade in writing atid filed with the Parks & Open Space Division Director ("the Division Directrar") <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 f"or 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 inf6rinal hearing the Division Director will only <br />consider testimony fion-i you, City personnel involved in the incident that resulted in this NoItice, and other witnesses tic) thic^ <br />incident. The Division Directort-nay exclude anyone, other than you and those presenting testimony, frorn the infi)rrnal he�aririg, <br />This Notice shall remain in effect pending any requested hearing. <br />Tb�s Notice ofExclusion was delivered to the person nawned at die top of this Notice at the (late rid time shown abovic, bY. <br />(Signature of person issuingi elnvering nodccs)i <br />I hereby acknowledge receipt ofthe above Notice on the date and tinie indicated above, <br />w. <br />. .. . . .... ....... <br />. . . . . . . . . . . . . . . .......................................................... <br />(Signature of person being issued the ncticc�) <br />While, C'upy: Public Woiiks ohcmin C'opy: Fik YieflowUopy� Repud C'upy If I Rucipiew (Juld C'ropy, (A'Nr.:,.r. Appx:kd RINVIO"i <br />