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NOTICE OF RESTRICTION OF USE <br />DATF: 6 � Mkt <br />LOCATION ( PARK "eOPEN Sl�ACE): <br />xi - 1� g m Vti M� <br />N4 U q5 aQ <br />and Notice of Right to Appeal <br />TIME: I <br />C A S E 9: _q - <br />Qn WAX\ <br />M <br />U nder the authority o Administrative Order N o. 58-03-24-F and Park and Open Space Rule R - 1.0 5 -)¢ you are herebv <br />notified that you are prohibited from (check box)- <br />/fO Entering in or using all City of Eugene parks, open spaces or facilities. <br />El <br />and Open Space Rules, and/or Sectio , of the Eugene Code, 1971, andlor ORS - - -- - --------- — -------- -. To wit, you:_ <br />41J Wr-M &�W 3�Aj W�-) PAC <br />(Description of the violation.) <br />This restriction of use is effective beginning on DELGA—q, and shall remain in effect until ()GC6 I(I <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 (1-be 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 informal hearing to be conducted, which gliall be not more than <br />72 hours (exclusive of weekend s) of receipt of the request for hearing. At the informal hearing the Divi Director wi 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 testir from the informal hearing. <br />This Notice shall remain in effect t 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 />3 - - --------- <br />(Signature of person issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />.............. . <br />(Signature of person being issued the notice) <br />Whke Copy! Public Work Green Copy: File Yellow Copy! Report Copy Pink Copy Recipient G iuld Copy 0 ffiuci- Appeal not ice Rev- 04,101 <br />Narn LaSt First fiddle <br />DO <br />P acer ` ex� <br />U <br />Res, Ad ss: City <br />State <br />Zip <br />Res, Phone: <br />Work Phone <br />k U <br />U nder the authority o Administrative Order N o. 58-03-24-F and Park and Open Space Rule R - 1.0 5 -)¢ you are herebv <br />notified that you are prohibited from (check box)- <br />/fO Entering in or using all City of Eugene parks, open spaces or facilities. <br />El <br />and Open Space Rules, and/or Sectio , of the Eugene Code, 1971, andlor ORS - - -- - --------- — -------- -. To wit, you:_ <br />41J Wr-M &�W 3�Aj W�-) PAC <br />(Description of the violation.) <br />This restriction of use is effective beginning on DELGA—q, and shall remain in effect until ()GC6 I(I <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 (1-be 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 informal hearing to be conducted, which gliall be not more than <br />72 hours (exclusive of weekend s) of receipt of the request for hearing. At the informal hearing the Divi Director wi 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 testir from the informal hearing. <br />This Notice shall remain in effect t 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 />3 - - --------- <br />(Signature of person issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />.............. . <br />(Signature of person being issued the notice) <br />Whke Copy! Public Work Green Copy: File Yellow Copy! Report Copy Pink Copy Recipient G iuld Copy 0 ffiuci- Appeal not ice Rev- 04,101 <br />