New Search
03 0�eg&;� <br />NOTICE OF REST CTION OF USE <br />and Notice of Right to Appeal <br />)ATE: ��, �1�. -- TIME: _ � °; _ CASE #: <br />;OCATION (PARK/OPEN SPACE): � � ��� <br />i t � <br />Jnder the authority of Administrative order loo. 58- 03 -24 -F and Park and open Space Rule R- 1.005(3), you are hereby <br />iotiried that you are prohibited from (check box): <br />;9P Entering in or using all City of Eugene parks, open spaces or facilities. <br />'he basis for this Notice of Restriction of Use is that on ���(� . you violated Section oft e Park <br />nd Open Space Rules, and/or Section of the Eugene Code, 1971, and/or ORS To wit, you: <br />R-0 0 TIM I � ff 1 2 �! L N <br />Description of the violation.) <br />Chis restriction of use is effective beginning on _— ������' and shall remain in effect until <br />f 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 />.crested and charged with criminal trespass in the second degree. <br />'ursuant 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 />riformal 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 />7402. <br />'he Division Director shall schedule a time and place for the informal hearing to be conducted, which shall be not more than <br />`Z hours (exclusive of weekends) of receipt of the request for hearing. At the informal hearing the Division Director will only <br />onsider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the <br />acident. The Division Director may exclude anyone, other than you and those presenting testimony, from the informal hearing. <br />,his Notice shall remain in effect pending any requested hearing, <br />'his Notice of Exclusion was delivered to the person named at the top of this No ' at the date and time shown above by: <br />k <br />(Signature perso issuing/delivering notice) <br />_hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(Signature of person being issued the notice) <br />py: Public works Green Copy: File Yellow Copy: Report Copy Pink Copy: Recipient Gold Copy: Officer Appeal notice Rev. 04/03 <br />Nam • Last irs t Middle <br />01 <br />DDB: <br />Race/ Sex <br />C <br />'� <br />U <br />Res. Address i <br />State <br />Zip <br />Res. Phone: <br />Work Phone: <br />i t � <br />Jnder the authority of Administrative order loo. 58- 03 -24 -F and Park and open Space Rule R- 1.005(3), you are hereby <br />iotiried that you are prohibited from (check box): <br />;9P Entering in or using all City of Eugene parks, open spaces or facilities. <br />'he basis for this Notice of Restriction of Use is that on ���(� . you violated Section oft e Park <br />nd Open Space Rules, and/or Section of the Eugene Code, 1971, and/or ORS To wit, you: <br />R-0 0 TIM I � ff 1 2 �! L N <br />Description of the violation.) <br />Chis restriction of use is effective beginning on _— ������' and shall remain in effect until <br />f 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 />.crested and charged with criminal trespass in the second degree. <br />'ursuant 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 />riformal 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 />7402. <br />'he Division Director shall schedule a time and place for the informal hearing to be conducted, which shall be not more than <br />`Z hours (exclusive of weekends) of receipt of the request for hearing. At the informal hearing the Division Director will only <br />onsider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the <br />acident. The Division Director may exclude anyone, other than you and those presenting testimony, from the informal hearing. <br />,his Notice shall remain in effect pending any requested hearing, <br />'his Notice of Exclusion was delivered to the person named at the top of this No ' at the date and time shown above by: <br />k <br />(Signature perso issuing/delivering notice) <br />_hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(Signature of person being issued the notice) <br />py: Public works Green Copy: File Yellow Copy: Report Copy Pink Copy: Recipient Gold Copy: Officer Appeal notice Rev. 04/03 <br />