New Search
NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATE: <br />LOCATION (PARK/{ PEN SPACE) <br />(W <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 />Y , 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 you violated Section ba�_ of the park <br />and Open Space Rules, and/or Section of the Eugene Code, 197 1, and/or ORS _. To wit, you. <br />'PA0 F;; (z4- P%i A <br />(Description of the violation.) <br />This restriction of use is effective beginning on _0�, 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 />97482® <br />The Division Director shall schedule a time and place for the infori hearing to be conducted, which shall be not more than <br />72 h(Mrs (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 info al hearing. <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of ExCh,Ni(fll Was delivered to the person narned at the top of this No e time shown above by: <br />of person issuingidefivering 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 ('npy: File Yetlo% Copy: Repon Copy Pink Copy: Recipient Gvld Copy: Officer Ap�peal noti cc Rev, 04 /01 <br />game: Last First Middle <br />DOB: <br />Race"Sex <br />_449.c_ Wcd <br />R es i oss: C <br />e,s - - ess: <br />El� <br />te <br />Zip <br />ties. Phone: <br />ark P1-{ �'. <br />Wt nc <br />�dd <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 />Y , 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 you violated Section ba�_ of the park <br />and Open Space Rules, and/or Section of the Eugene Code, 197 1, and/or ORS _. To wit, you. <br />'PA0 F;; (z4- P%i A <br />(Description of the violation.) <br />This restriction of use is effective beginning on _0�, 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 />97482® <br />The Division Director shall schedule a time and place for the infori hearing to be conducted, which shall be not more than <br />72 h(Mrs (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 info al hearing. <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of ExCh,Ni(fll Was delivered to the person narned at the top of this No e time shown above by: <br />of person issuingidefivering 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 ('npy: File Yetlo% Copy: Repon Copy Pink Copy: Recipient Gvld Copy: Officer Ap�peal noti cc Rev, 04 /01 <br />