New Search
'qp Sei � & <br />NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal DATE: A <br />TIME: ? �'/ CASE <br />W WI Ij <br />LOCATION (PARFJOPEN SPACE): 4 - *0 t <br />Sa "rLe-L "I 7Y77 <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 />A -/ Entering in or using all City of Eugene parks, open spaces or facilities. <br />t d J&-�l <br />The basis for this Notice of Restriction of Use is that on � you violated Section 1" d of the Park <br />and Open Space Rules, and/or Section 41 1-( 1' of the Eugene Code, 1971, and/or ORS . To wit, you: <br />?Z�1:5s 1155s 7xe- i l O-L- <br />(Description of the violation.) <br />This restriction of use is effective beginning on Z If I and shall remain in effect until Z l� <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 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 />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 />are rson issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(lu ff%4�7 Tb SGA111 <br />(Signature of person being issued the notice) <br />White Copy: Public Works Green Copy: File Yellow Copy: Report Copy Pink Copy: Recipient Gold Copy: Officer Appeal notice Rev. 04103 <br />Name: Last F' rst addle <br />DOB <br />Race /S x:. <br />w <br />m <br />:;l��t r 6� � <br />z <br />r <br />ResAddre 5 ! city <br />Res. P <br />Work Phone: <br />Z j <br />Sa "rLe-L "I 7Y77 <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 />A -/ Entering in or using all City of Eugene parks, open spaces or facilities. <br />t d J&-�l <br />The basis for this Notice of Restriction of Use is that on � you violated Section 1" d of the Park <br />and Open Space Rules, and/or Section 41 1-( 1' of the Eugene Code, 1971, and/or ORS . To wit, you: <br />?Z�1:5s 1155s 7xe- i l O-L- <br />(Description of the violation.) <br />This restriction of use is effective beginning on Z If I and shall remain in effect until Z l� <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 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 />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 />are rson issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(lu ff%4�7 Tb SGA111 <br />(Signature of person being issued the notice) <br />White Copy: Public Works Green Copy: File Yellow Copy: Report Copy Pink Copy: Recipient Gold Copy: Officer Appeal notice Rev. 04103 <br />