NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATE: -0241�W TIME: &I CASE # <br />7A/C 13 - 2 ' 0 S 57 <br />MAR 0 6 ENT'D <br />LOCATION (PARK/OPEN SPACE), J%A <br />I 1 - 111 pill 1 <br />IN 111 11111 111 111 !ill 11111111 111 <br />te Entering in or using all City of Eugene parks, open spaces or facilities. <br />N <br />The basis for this Notice of Restriction of Use is that on VAVY -1--, you violated Section of the Park <br />and Open Space Rules,, and/or Section 4 C �'D ? of the Eugene Code, 1971, and/or ORS To wit, you: - Ahwo <br />Zy IF <br />(Description of the violation.) <br />'This restriction of use is effective beginning on -21�r J�, and shall remain in effect until <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 infon 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 infoi-mal 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 infon 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 Notice at the date and time shown above bv: <br />(Signature of person issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above, <br />- 7 <br />(!! fgn:Aure of rson being issued t e notice) <br />White Copy: Public Works Green Copy. He Yellow Copy: Report Copy Pink Copy: Recipient Gold Copy: Officer Appeal notice Rov 04103 <br />Naive: Last <br />First Middle <br />DOB: <br />Race/'Sex: <br />v <br />jic-< <br />1 <br />ZIV�Hm KIV C <br />L�1, <br />02 <br />Res, Address: <br />City <br />State <br />I Zip <br />Res, Phone: <br />Work Phone: <br />I 1 - 111 pill 1 <br />IN 111 11111 111 111 !ill 11111111 111 <br />te Entering in or using all City of Eugene parks, open spaces or facilities. <br />N <br />The basis for this Notice of Restriction of Use is that on VAVY -1--, you violated Section of the Park <br />and Open Space Rules,, and/or Section 4 C �'D ? of the Eugene Code, 1971, and/or ORS To wit, you: - Ahwo <br />Zy IF <br />(Description of the violation.) <br />'This restriction of use is effective beginning on -21�r J�, and shall remain in effect until <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 infon 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 infoi-mal 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 infon 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 Notice at the date and time shown above bv: <br />(Signature of person issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above, <br />- 7 <br />(!! fgn:Aure of rson being issued t e notice) <br />White Copy: Public Works Green Copy. He Yellow Copy: Report Copy Pink Copy: Recipient Gold Copy: Officer Appeal notice Rov 04103 <br />