Crane, M. 2013 Park Blocks - Laserfiche WebLink

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NOTICE OF Rc sTRiCTION OF USE and Notice of Right to Appeal DATE: TIME: CASE 4: LOCATION (PARKJOPEN SPACE):_ K4-/- k 5� -V - Alp 5569 Under the autHorit- y of Administrative Order No. 58-03-24-F and Park and Open Space Rule 12-1.005(3), you are hereby notified that you are prohibited from (check box): k Entering in or using all City of Eugene parks, open spaces or facilities. I* The basis for this Notice of Restriction of Use is that on—zAz—lz� —13,you violated Section Z —al,9 of the Park Space Rules, and/or Section of the Eugenp Code, 1971, and/or ORS To wit, you:_ Z6:4/ if Alml e / A (Description of the violation.) S7/3 , "d shall remain in effect nntil e) S-2S 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 arrested and charged with criminal trespass in the second degree. WIP-Alp, —11— —irromPT informal hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Director") within 48 hours (exclusive of weekends) of receipt of this Notice at the following address, 1820 Roosevelt, Blvd., Eugene, OR 97402. glow 72 nours kCXG1Uh1VU 01 WCUKUHL16) 01 1 CUCIPL 01 L11C iUtjUU6L IV! I1UdII11r M I I I I Me L"JIV161,vil I CC my consider testimony from you, City personnel involved in the incident that resulted in this Notice, do witnesses to the incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the informal hearing. This Notice shall remain in effect pending any requested hearing. This Notice of Exclusion was delivered to the person named at the top of this Noth; t the date and ti e shown above by: of person issuing/delivering notice) I hereby acknowledge receipt of the above Notice on the date and time (Signature of person being issued the notice) White Copy: Public Works Green Copy: File Yellow Copy: Report Copy Pink Copy: Recipient Gold Copy: Officer Appeal notice Rev., Narne: Last Ir t Middle DOB: Racc/s X: A ity Res, AddrQs p ity , State Zip Res. Phone: W4 Phone: Alp 5569 Under the autHorit- y of Administrative Order No. 58-03-24-F and Park and Open Space Rule 12-1.005(3), you are hereby notified that you are prohibited from (check box): k Entering in or using all City of Eugene parks, open spaces or facilities. I* The basis for this Notice of Restriction of Use is that on—zAz—lz� —13,you violated Section Z —al,9 of the Park Space Rules, and/or Section of the Eugenp Code, 1971, and/or ORS To wit, you:_ Z6:4/ if Alml e / A (Description of the violation.) S7/3 , "d shall remain in effect nntil e) S-2S 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 arrested and charged with criminal trespass in the second degree. WIP-Alp, —11— —irromPT informal hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Director") within 48 hours (exclusive of weekends) of receipt of this Notice at the following address, 1820 Roosevelt, Blvd., Eugene, OR 97402. glow 72 nours kCXG1Uh1VU 01 WCUKUHL16) 01 1 CUCIPL 01 L11C iUtjUU6L IV! I1UdII11r M I I I I Me L"JIV161,vil I CC my consider testimony from you, City personnel involved in the incident that resulted in this Notice, do witnesses to the incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the informal hearing. This Notice shall remain in effect pending any requested hearing. This Notice of Exclusion was delivered to the person named at the top of this Noth; t the date and ti e shown above by: of person issuing/delivering notice) I hereby acknowledge receipt of the above Notice on the date and time (Signature of person being issued the notice) White Copy: Public Works Green Copy: File Yellow Copy: Report Copy Pink Copy: Recipient Gold Copy: Officer Appeal notice Rev.,