New Search
III, <br />jj� <br />NOTICE OF RESTRICTION OFUSE <br />and Notice of Right to Appeal <br />L)ATL <br />. .... TIME: CASE 9: <br />. ..... . . . ..................... . ................................ . - ------ . . ............................. . . . . . . .................. <br />LOCATION (PARK/OPEN SPA( F): . . ............ <br />N�pui� Last ddlc DOB: Race,'Sex%, <br />di o <br />Res Address: City State Zip Res- Phune� Woriik fllwnv� <br />Under the authority" orAdministrative 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 (cheek box): <br />XEntering in or using all City of Eugene parks, open spaces or facilities. <br />. ..... .. . ... . ............................................ . ........................ . . ........ . . . . . ........... --- . . .... . . . .................................... . ........................ ....... <br />you violated Slecticin '1)/0 ofthe Park <br />The basis for anus._. <br />of Restrieti(r)n of'Use is that on tO--'7/ <br />and Open SpaCe.R.WeS, and/or Section Of the EllgeDC Code, 1971, and/oir ORS 'To wit., you: --.— <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall remain in effect until <br />........................ <br />If you enter in or use any City of Eugene park, open space or facility during the effective period ofthis Niamici e, you may Inc:: <br />arrested and charged with criii-ninal trespass in the second degree. <br />Pursuant to Park. and Open Space Rule R- 1.074 your entitled to an informal hearing to i this Notice. A rcquiest f6r am <br />informal hearitn nnliukst he made, in writing and filed with the Parks & Open Space Division Director ("the Division Dire <br />within 48 hout's (exclusive of'weekends) of receipt of this Notice at the following address: 1820 Roosevelt., Blvd., Eugene, OR <br />974(2® <br />The Division Dircctm- shall schedulc a time and place for the inflormal hearing to be conducted, which shali be not rrur)re than <br />721 hOUTS (exclusive of weekends) of receipt of the request for hearing. At the informal hearing the Division Director will only <br />consider testimony, trorn yoiu, City personnel involved in the incident that resulted in this NoGce, and other w'itnesses tic) the <br />incident, The Lividion Di rector may, exclude anyone, other than you and those presenting testi mo ny, korn the in formal hearin L!, <br />This Notice shall reinaiu in effect pending any requested hearing. <br />This Noricc of Excliusion was defivered to the person named at the top of thiq Noti - at the data: and inle shown above by� <br />............................. ........ . . <br />Ig as ure of <br />/UrC' <br />person issuing/delivering notice) <br />I hereby acknowledge receipt ofthe above Notice on the date and fink indicated above, <br />. ...... . ........ ............ <br />S Au- rs <br />ligruw� Y��N, on being issued the notice) <br />, <br />Whilic, <,'opy, Publiie WoNks F�11v' Y'r.1hiv, Copy: Ropork I flinh ('ups : R.iecipienCicflld Copy. Offi,-.wr Apilmall nniik;-„ Rx", 04i(B <br />