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NOTICE OF RESTRICTION OF USE <br />DATE: <br />LOCATION (PARK//PEN SPACE): <br />and Notice of Right to Appeal <br />TIME: 60 j <br />�a-MWA,r4AJ A0 <br />� � 5Atq W 5 <br />. lf-�- 1�1> /3 <br />C ASE - 4. <br />7 <br />Ft <br />Nzme� a L First X I Ile <br />1 . .................................... . ......... -zd�,b <br />Q013 <br />Rae J( <br />f <br />Res, A(Wreis <br />- 7 <br />State <br />A k <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule Rwl41105(3 you are hereby <br />notified that you are prohibited from (check box): <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />M <br />'The basis for this Notice of Restriction of Use is that on you violated Section t'6 / 6 09le Park <br />and Open Space Rules, and/or SectiOrl of the Eugene Code, 1971, and"or ORS f4.' o Wit., y o-u: <br />(Description of the violation.) <br />This restriction of use is effective beginning onk52-5, and shall remain in effect until 9/V <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 />Purquant 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 ol'weekendq) of receipt of this Notice at the following addreqs: 1920 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Director shall sched a time and place for the informal hearing to be conducted, which shall be not more than <br />72 hours (excius.Jve 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. 'rhe 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 t , date hewn above by; <br />I' akire of'porqon Inn I !,SLJI g,"delivering notice) <br />White Copy: Nblic `A`oik� Gieen, Copy: File Y e now Copy L Report Copy Fink Copy: Recipient <br />Gold Copy: Officer Appeal notice <br />Rev, W03 <br />A <br />