NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATE: 6?1giS• T1MF: Q -'W CASE #: <br />LOCATION (PARK/OPEN SPACE): 6.,TF<-- 44 <br />�5�5Bt�4o°� <br />l5--IZIC)9 <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 />XEntering in or using all Cite of Eugene parks, open spaces or facilities. <br />0 <br />The basis for this Notice of Restriction of Use is that on Of 19 /S , you violated Section -' --. vo G f the Park <br />and Open Space Rules, and/or Section a? -011t4 of the Eugene Code, 1971, and/or ORS . To wit, you: <br />(Description of the violation.) <br />This restriction of use is effective beginning on 6 eM tS' , and shall remain in effect until 11 1 q -1-r <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 />The. Division Director shall schedule a time and place for the in Formal 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 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 />Tbis Noticc 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 />} ,145 � <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 Crcen Copy: File Yellow Copy: Report Copy Pink Copy: Recipient Cold Copy: Ulticer Appeal notice Rc v. 04.V <br />Name: Last First Middlr <br />D013; <br />Race/sex: <br />T <br />Res. Address: City <br />State 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 />XEntering in or using all Cite of Eugene parks, open spaces or facilities. <br />0 <br />The basis for this Notice of Restriction of Use is that on Of 19 /S , you violated Section -' --. vo G f the Park <br />and Open Space Rules, and/or Section a? -011t4 of the Eugene Code, 1971, and/or ORS . To wit, you: <br />(Description of the violation.) <br />This restriction of use is effective beginning on 6 eM tS' , and shall remain in effect until 11 1 q -1-r <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 />The. Division Director shall schedule a time and place for the in Formal 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 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 />Tbis Noticc 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 />} ,145 � <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 Crcen Copy: File Yellow Copy: Report Copy Pink Copy: Recipient Cold Copy: Ulticer Appeal notice Rc v. 04.V <br />