New Search
NOTICE OF RESTRICTION OF USE MAR 0 6 ENTT <br />and Noticc of Right to Appeal <br />DATE: TIME, J_L)rb CASE#.. 4A79 <br />LOCATION (PARK�OPEN SPACE): ALN � <br />z <br />N Last Furst <br />Raco-,`Scx: <br />.. . . .... ..... . <br />Res. Address <br />State <br />Zip <br />Res. PllonQ: <br />work Phone: <br />L <br />Under the authority of Administrative Order No. 58-03�244 and Park and Open Space Rule R-1 .005(3), you are hereby <br />notifled that you are prohibited from (check box): <br />W Entering in or using all City of Eugene parks, open spaces or facilities. <br />W <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 1x 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 />11L 11041IN kcXulusive 71 W77K NuSy 71 7771pL ot ine request Tor nearin_. rormal Ural Hig ME Division sire <br />eonsider 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 informal 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 />(Signatur f person being issued the notice) <br />White Copy: Public Works Greets Copy: File Yellow Copy: Rcport Copy Pink Copy: Recipient Gold Copy Officer Appeal notice Rev. 04 03 <br />