NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />LOCATION (PARKiOPEN SPACE): AA Lk AW ) <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space �Ule -1.005(3), you are hereby <br />notified that you are prohihited from, (check box): <br />t Entering in or using all City of Eugene parks, open spaces or facilities. <br />0 <br />The basis for this Notice of Restriction of Use is that on t you violated Section k,_Z)tl of the Par <br />and Open Space Rules, and/or Section <br />(Description of the violation.) <br />of the Eugene Code, 1471, and/or ORS -. To wit, you:_ <br />This restriction of uSe is effecove h��gi - <br />o 05 <br />inning n , 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 [nay be <br />arrested and charged with criminal trespass in the second degree. <br />pursuant to Park and Open Space Ru R- 1 .074 you are entitled to tin informal hearing to contest t h i s 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 49 hours (exclusive of weekends) of receipt of this Notice at the 1011owing address 1820 Roosevelt, Blvd., Eugene, Oft <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 o weekends) of receipt of the request for hearing, At the info al hearing the Division Director ,kri only <br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witneqscs to the <br />incident, The Division Director may exclude anyone, other than you and those presenting testimony, from the info al hearing. <br />nis 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 , eVjatA and time shown above by; <br />I <br />H <br />'suing/delivering notice) <br />Whftv Copy Public Works Omen Copy; NIP Yetlow Copy: Report Co[ry Pink Copy: Re6pient Gold Copy: Officet Appeal ncAice Re 04/03 <br />Name: Last First Mid Ile <br />DM <br />Rae eisexl <br />Res, Address City <br />State <br />Zip <br />Res, Phone: <br />W(M plione <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space �Ule -1.005(3), you are hereby <br />notified that you are prohihited from, (check box): <br />t Entering in or using all City of Eugene parks, open spaces or facilities. <br />0 <br />The basis for this Notice of Restriction of Use is that on t you violated Section k,_Z)tl of the Par <br />and Open Space Rules, and/or Section <br />(Description of the violation.) <br />of the Eugene Code, 1471, and/or ORS -. To wit, you:_ <br />This restriction of uSe is effecove h��gi - <br />o 05 <br />inning n , 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 [nay be <br />arrested and charged with criminal trespass in the second degree. <br />pursuant to Park and Open Space Ru R- 1 .074 you are entitled to tin informal hearing to contest t h i s 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 49 hours (exclusive of weekends) of receipt of this Notice at the 1011owing address 1820 Roosevelt, Blvd., Eugene, Oft <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 o weekends) of receipt of the request for hearing, At the info al hearing the Division Director ,kri only <br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witneqscs to the <br />incident, The Division Director may exclude anyone, other than you and those presenting testimony, from the info al hearing. <br />nis 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 , eVjatA and time shown above by; <br />I <br />H <br />'suing/delivering notice) <br />Whftv Copy Public Works Omen Copy; NIP Yetlow Copy: Report Co[ry Pink Copy: Re6pient Gold Copy: Officet Appeal ncAice Re 04/03 <br />