NOTICE OF RESTRICTION OF USE
<br />and Notice of Right to Appeal
<br />DATE: 04? 0 I5— 'TIME.: I IIZ,4/" CASE #:
<br />LOCATION (PARK/OPEN SPACE): C. *s
<br />'S— Zlsr2ZS
<br />e, -741�
<br />5 --V j 5-0541
<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 />Entering in or using all City of Eugene parks, open spaces or facilities.
<br />10 A The basis for this Notice of Restriction of Use is that on 0 7U 4 J� , you violated Section of the Park
<br />and Open Space Rules, and/or Section of the Eugene Code, 1971, and/or ORS To wit, you:
<br />QPA230r8l) 6A1AC>JL, V
<br />(Description of the violation.)
<br />This restriction of use is effective beginning on d , o , and shall remain in effect until Lid 1
<br />If you cuter 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 informal hearing to be conducted, which shall he 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 />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 Noticb-ro-3eu ate and time shown above by:
<br />(Signature ref crson issuingldelivcring notice)
<br />I hereby acknowledge receipt of the above Notice on the date and time indicated above.
<br />Cgnature o#' person b6n , issued the notice)
<br />White Copy: Public Works Green Copyr File fellow Copy: Repon Copy Pink Copy: Recipient Gold Cupy: Officer Appeal notice Rev. (W03
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<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 />Entering in or using all City of Eugene parks, open spaces or facilities.
<br />10 A The basis for this Notice of Restriction of Use is that on 0 7U 4 J� , you violated Section of the Park
<br />and Open Space Rules, and/or Section of the Eugene Code, 1971, and/or ORS To wit, you:
<br />QPA230r8l) 6A1AC>JL, V
<br />(Description of the violation.)
<br />This restriction of use is effective beginning on d , o , and shall remain in effect until Lid 1
<br />If you cuter 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 informal hearing to be conducted, which shall he 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 />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 Noticb-ro-3eu ate and time shown above by:
<br />(Signature ref crson issuingldelivcring notice)
<br />I hereby acknowledge receipt of the above Notice on the date and time indicated above.
<br />Cgnature o#' person b6n , issued the notice)
<br />White Copy: Public Works Green Copyr File fellow Copy: Repon Copy Pink Copy: Recipient Gold Cupy: Officer Appeal notice Rev. (W03
<br />
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