�H5tiZr'y Z2,3 025-@1y3,17- <br />NOTICE OF RESTRICTION OF USE /qy5 <br />and Notice of Right to Appeal f 9 <br />DATE: 05/4 l- 637p TIME: 137,"JASE <br />LOCATION (PARKJOPEN SPACE): We—S I PA4k— 910 _- <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.{1{15(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 />The basis for this Notice of Restriction of Use is that on oft 157, you violated Section r a of the Park <br />and Open Space Rules, and/or Section r W ofthe Eugene Code, 1971, and/or ORS To wit, you: <br />`7WA-P5 Z 2 cum AeS <br />OC /Y 'Tu /0644V <br />(Description of the violation.) p_ ' <br />This restriction of use is effective beginning on d❑ l o� , 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 are entitled to an informal hearing to contest this Notice. A request For an <br />informal hearing must he 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 he conducted, which shall he not more than <br />72 hours (exclusive of weekends) of receipt of the request for hearing, At the infiormal 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 Notice to and time shown above by: <br />3 <br />(Signature of #erson issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />�U6,k5 I M1 <br />nature ol'person being issue he notice) <br />Whitc Copy: Public Works Gtccn Copy: hilt Yellow Copy: Report Copy Pink Copy: Recipient Gold Copy: Officer Appeal notice Kcv. 04103 <br />Nat Last F rst idcllc <br />byMDS- it <br />D013: <br />ltaeel e: <br />Ni <br />:J <br />Kes dress:City <br />Statc <br />Zip <br />Re. ane <br />Work ['hone: <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.{1{15(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 />The basis for this Notice of Restriction of Use is that on oft 157, you violated Section r a of the Park <br />and Open Space Rules, and/or Section r W ofthe Eugene Code, 1971, and/or ORS To wit, you: <br />`7WA-P5 Z 2 cum AeS <br />OC /Y 'Tu /0644V <br />(Description of the violation.) p_ ' <br />This restriction of use is effective beginning on d❑ l o� , 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 are entitled to an informal hearing to contest this Notice. A request For an <br />informal hearing must he 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 he conducted, which shall he not more than <br />72 hours (exclusive of weekends) of receipt of the request for hearing, At the infiormal 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 Notice to and time shown above by: <br />3 <br />(Signature of #erson issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />�U6,k5 I M1 <br />nature ol'person being issue he notice) <br />Whitc Copy: Public Works Gtccn Copy: hilt Yellow Copy: Report Copy Pink Copy: Recipient Gold Copy: Officer Appeal notice Kcv. 04103 <br />