New Search
NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATE: � ( — z_ <br />�i <br />r <br />TIME: , L".1. CASE #: <br />LOCATION (PARK/OPEN SPACE): n IZ <br />1� <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 />Entering in or using all City of Eugene parks, open spaces or facilities. <br />Al <br />The basis for this Notice of Restriction of Use is that on 07�/� 12 ,you violated Section �� � MW the Park <br />and open Space Rules, and/or Sectioxt Of 9 of the Eugene Code, 1971, and/or ORS To wit, you. <br />COPSUmt,f) )VLCO HOL 7 r119 P&kk <br />(Description of the violation.) <br />This restriction of use is effective beginning on `' f and shall remain in effect until Z. i <br />g g a • <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 heaving. ,on <br />This Notice of Exclusion was delivered to the person named at the top of this Notice at jAe/date and time shown above by: <br />(Signatp!kpf p�jAon iss�ing /delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicate abo e. <br />(Sig e of person being issued the notice) <br />Re Copy: Public Works Green Copy: File Yellow Copy: Report Copy Pink Copy: Recipient Gold Copy: Officer Appeal notice Rev. 04/43 <br />I <br />/f <br />Name: Last First Middle <br />DDB: <br />Race /Sex: <br />SyAonnmf C ua7�1 _S <br />U <br />U <br />Re Address: city <br />State <br />zip <br />Res. Phone: <br />Work Phone: <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 />Entering in or using all City of Eugene parks, open spaces or facilities. <br />Al <br />The basis for this Notice of Restriction of Use is that on 07�/� 12 ,you violated Section �� � MW the Park <br />and open Space Rules, and/or Sectioxt Of 9 of the Eugene Code, 1971, and/or ORS To wit, you. <br />COPSUmt,f) )VLCO HOL 7 r119 P&kk <br />(Description of the violation.) <br />This restriction of use is effective beginning on `' f and shall remain in effect until Z. i <br />g g a • <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 heaving. ,on <br />This Notice of Exclusion was delivered to the person named at the top of this Notice at jAe/date and time shown above by: <br />(Signatp!kpf p�jAon iss�ing /delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicate abo e. <br />(Sig e of person being issued the notice) <br />Re Copy: Public Works Green Copy: File Yellow Copy: Report Copy Pink Copy: Recipient Gold Copy: Officer Appeal notice Rev. 04/43 <br />I <br />/f <br />