New Search
I1S5� 'If <br />NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATE: ' ��� / 1?� TIME: CASE #: L Z �� 1� <br />LOCATION (PARK/OPEN SPACE): LF <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 />V Entering in or using all City of Eugene parks, open spaces or facilities. <br />C <br />The basis for this Notice , of Restriction of Use is that on , you violated Section.., of the Park <br />re � <br />and en Space Rules and/or Section y '� of the Eugene Code 1971 and/or ORS t To wit <br />p p � g a � ,ou: y <br />1�s L MY i o%s M �Tw Vp'r --im <br />AYAUL <br />(Description of the violation.) <br />This restriction of use is effective beginning on �— and shall remain in effect until 61 -- 2. g g <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 Noti the date d time shown above by: <br />4r X3'7 <br />(Signature of pers issuing /delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <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. 04/03 <br />Name Last First Middle <br />4 <br />DOB: <br />Race /S x: <br />Hki�6 !A2 NJ <br />U <br />........ . ............. <br />Res. Address: City <br />State Zip <br />Res. Pho q e: <br />work hone: <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 />V Entering in or using all City of Eugene parks, open spaces or facilities. <br />C <br />The basis for this Notice , of Restriction of Use is that on , you violated Section.., of the Park <br />re � <br />and en Space Rules and/or Section y '� of the Eugene Code 1971 and/or ORS t To wit <br />p p � g a � ,ou: y <br />1�s L MY i o%s M �Tw Vp'r --im <br />AYAUL <br />(Description of the violation.) <br />This restriction of use is effective beginning on �— and shall remain in effect until 61 -- 2. g g <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 Noti the date d time shown above by: <br />4r X3'7 <br />(Signature of pers issuing /delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <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. 04/03 <br />