New Search
and Notice of Right to Appeal <br />DATE: G <br />TIME: <br />CASE <br />Racelsex: <br />LOCATION (PARK/OPEN SPACE): <br />0 C N <br />k jAA <br />z <br />Name bst r First Middle <br />DOB <br />Racelsex: <br />k jAA <br />Le <br />Res. Address! city <br />State <br />Zip <br />Res. Phone: <br />Work Phone: <br />The basis for this Notice of Restriction of Use is that on you violated Section 6 the Park <br />and Open Space Rules, ancYor Section <br />of the Eugene Code, 1971, and/or ORS _ <br />. To wit, you: <br />cf 2 \( <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall remain ineffect 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 info al hearing to contest this Notice. A request for an <br />info al hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Director") <br />within 49 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, frorn the infortrial 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 by: <br />(Signature of person issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />ISOV\6h 0AIn <br />(Signature of person being issued the notice) <br />White Copy Public Works Green Copy File Yellow Copy: Report Copy Pink Copy: Recipient (Jold Copy: Officer Appeal notice Rev. K03 <br />