NOTICE OF RESTRICTION OF USE <br />and Notice. of Bight to Appeal <br />DATE: <br />LOCATION (PARK/OPEN SPACE): <br />TIME:11V <br />CASE #: <br />�I�i53�3 <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.1105(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 />l <br />The basis for this Notice of Restriction ofUse is that on D q -v q — I � , you violated Section s G of the Park <br />and Open Space Rules, and/or Section 1-11�Jkl bf the Eugene Code. 1971, and/or ORS . To wit, you: <br />(Description of the violation.) <br />This restriction of use is effective beginning on J� �I ter, and shall remain in effect until <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 arc 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 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 />This Notice shall remain in effect pending any requested hearing. <br />I'his Notice of Exclusion was delivered to the person named at the top of this ntice at th _date and time shown above by: <br />(Signature of person issuing/delivering notice) <br />1 hereby acknowledge receipt of the above Notice on (lie date and time indicated above. <br />(Signature of person being isst ice) <br />White Cupy: Public Works Green Copy: File Yellow Copy: Report Copy Pink Copy: Recipient Gold Copy: Officer Appeal notice Rcy. 04'03 <br />Name: Last First M Idle <br />D013: <br />Racc'Scx; <br />Res. Address: �t City <br />5gatc <br />t, <br />Zip <br />Res. Phone: <br />Work Phone: <br />r [�f <br />. Pl t^i <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.1105(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 />l <br />The basis for this Notice of Restriction ofUse is that on D q -v q — I � , you violated Section s G of the Park <br />and Open Space Rules, and/or Section 1-11�Jkl bf the Eugene Code. 1971, and/or ORS . To wit, you: <br />(Description of the violation.) <br />This restriction of use is effective beginning on J� �I ter, and shall remain in effect until <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 arc 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 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 />This Notice shall remain in effect pending any requested hearing. <br />I'his Notice of Exclusion was delivered to the person named at the top of this ntice at th _date and time shown above by: <br />(Signature of person issuing/delivering notice) <br />1 hereby acknowledge receipt of the above Notice on (lie date and time indicated above. <br />(Signature of person being isst ice) <br />White Cupy: Public Works Green Copy: File Yellow Copy: Report Copy Pink Copy: Recipient Gold Copy: Officer Appeal notice Rcy. 04'03 <br />