4.17.15 Park Restrictions (2) - Laserfiche WebLink

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T nTIMM , Tllfflff��-,'.�PV.J notified that you are prohibited from (check box)� Entering in or using all City of Eugene parks, open spaces or facilitiC% M The basis for this Notice of Restriction of Use is that on IL K you violated Section 2 -01 1 ofthePark- (Description of the violation.) 'rhis restriction of use is of beginning on Appuk /( i g — and shall remain in effect until 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. 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 in l'ormal hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Director within 48 hours (exclusive ofweckcnds') oCreccipt of this Notice at the following address 1820 Roosevelt, Blvd., Eugene, OR 97402. The Division Director shall schedule a time and place for the informal hearing to be conducted, which shall be not more than 72 hours (exclusive of weekends) of receipt of the request for hearing. At the informal hearing the Division Director will only consider testimony from you, City personnel involved in the incident that resulted in this Notice,, and other witnesses to the incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the informal hearing. This Notice shill remain in effect pending any requested hearing. This Notice of Exclusion was delivered to the person named at the top of this Notice at the, date and time shown above by: (Signature of persmi issuing/delivering notice) I hereby acknowledge receipt of the above Notice on the date and time indicated above. (Signature of person being issued the notice) White Copy: Pubic W i rks Green Cs pyl Fits : Yellow Copy Repon Copy PA Copy- Rea[picnl Guld Copy: Officer Appeal notice Rev- 04,"03 Nanie: La pMiddle Amuii(, cc DOB: RaCQ/S oij Ds -Y IL Res. Address CAN State Zip Rm Pfione. Work Phone: T nTIMM , Tllfflff��-,'.�PV.J notified that you are prohibited from (check box)� Entering in or using all City of Eugene parks, open spaces or facilitiC% M The basis for this Notice of Restriction of Use is that on IL K you violated Section 2 -01 1 ofthePark- (Description of the violation.) 'rhis restriction of use is of beginning on Appuk /( i g — and shall remain in effect until 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. 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 in l'ormal hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Director within 48 hours (exclusive ofweckcnds') oCreccipt of this Notice at the following address 1820 Roosevelt, Blvd., Eugene, OR 97402. The Division Director shall schedule a time and place for the informal hearing to be conducted, which shall be not more than 72 hours (exclusive of weekends) of receipt of the request for hearing. At the informal hearing the Division Director will only consider testimony from you, City personnel involved in the incident that resulted in this Notice,, and other witnesses to the incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the informal hearing. This Notice shill remain in effect pending any requested hearing. This Notice of Exclusion was delivered to the person named at the top of this Notice at the, date and time shown above by: (Signature of persmi issuing/delivering notice) I hereby acknowledge receipt of the above Notice on the date and time indicated above. (Signature of person being issued the notice) White Copy: Pubic W i rks Green Cs pyl Fits : Yellow Copy Repon Copy PA Copy- Rea[picnl Guld Copy: Officer Appeal notice Rev- 04,"03