New Search
DATE: Q C� C) <br />NOTICE OF RESTRIC HON OF USE <br />and Notice of Right to Appeal C� <br />TIME:C p0 CASE #: J`� I ��� <br />LOCATION (PARK/OPEN SPACE): [l� t3 �t �� q /,.]1L <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005(3), you arc 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 />70 <br />The basis for this Notice of Restriction off^ Use its that on 05 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 />C .S2-0--X� -r - T -J P (7F( -T� VJ�J- e4? A( <br />(Description of the violation.) r r <br />This restriction of use is effective beginning on C9 UA t 7, and shall remain in effect until { �� <br />J <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 infonnaI hearing to contest this Notice. A request for an <br />informal hearing must be made in writing and Fled with the Parks &. Open Space Division Director ("the Division Director") <br />within 48 hours (exclusive of weekends) ofreecipt 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 infornial hearing the Division Director will only <br />consider testiniony 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 Notice at the date and time shown above by: <br />4W 1( cy-j I L i 7c� — <br />(Signature ol'person issuink'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 />4Xhiic Copy: Public Works Green Copy: File Yellow Copy: Reporr Copy Pink Copy: Recipient Gold Copy: C1t%iecr Appeal notice Rev- 04!03 <br />Name: Last Firs( Mid le <br />DO 13: <br />Raceitiex <br />w <br />_ <br />�L- (c nv� -A-) �W r <br />CSR j <br />Res. Address: City <br />State <br />Tip <br />Res. Phone: <br />Work <br />CN�mLe: <br />. �—, <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005(3), you arc 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 />70 <br />The basis for this Notice of Restriction off^ Use its that on 05 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 />C .S2-0--X� -r - T -J P (7F( -T� VJ�J- e4? A( <br />(Description of the violation.) r r <br />This restriction of use is effective beginning on C9 UA t 7, and shall remain in effect until { �� <br />J <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 infonnaI hearing to contest this Notice. A request for an <br />informal hearing must be made in writing and Fled with the Parks &. Open Space Division Director ("the Division Director") <br />within 48 hours (exclusive of weekends) ofreecipt 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 infornial hearing the Division Director will only <br />consider testiniony 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 Notice at the date and time shown above by: <br />4W 1( cy-j I L i 7c� — <br />(Signature ol'person issuink'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 />4Xhiic Copy: Public Works Green Copy: File Yellow Copy: Reporr Copy Pink Copy: Recipient Gold Copy: C1t%iecr Appeal notice Rev- 04!03 <br />