New Search
NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal �... <br />R <br />DATE : 6 � <br />TIME:. CASE #• <br />LOCATION PARK. /OP <br />EN SPACE). --,� <br />N Name: Last First Middle DOB: Race /Se <br />947 <br />U <br />Res. Address: City State ,dip Res. Phone: Work Phone: <br />i MA06 AL t t <br />Under the authority of Administrative Order No 5 8- 03 -24 -F and Park and Open Space Rule R-1.005(3), you are hereb <br />t Y y <br />notified that you are prohibited from (check box): <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />El <br />The basis for this Notice of Restriction of Use is that on ou violated Section . 6 1 <br />..;,....� 7 y � of the Park <br />and Open Space Rules, and/or Section of the Eugene Code, 1971, and/or ORS To wit, you: <br />;.(Description of the violation.) <br />.'phis restriction of use is effective beginning on and shall remain in effect u t' � <br />g g nil . <br />;1f 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 weekend s) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eu g ene, 0R <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 />g <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 he date and time shown above by: <br />lgnature of person issuing /delivering notice) <br />1 hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />f <br />s i <br />� f <br />(Signature, of person being issued the notice) <br />f <br />Copy: Public Works Green Copy: File Yellow Copy: Report Copy Pink Copy: Recipient Gold Copy: Officer Appeal notice Rev. Q4Z , ' <br />