NOTICE OF RESTRICTION OF USE <br />t n Y", <br />-J <br />and Notice of Right to Appeal <br />DATE: 610 I 1A TIME: ?. <br />�j CASE <br />LOCATION (PARKJOPEN SPACE):�P� �(/ <br />7 <br />Mini zist, First iddle <br />1)(M <br />R11 <br />R11 'els <br />6 Cb I <br />. . .. ... ...... ...... <br />L; <br />Cw <br />R €s, dres City <br />State <br />Zip <br />Reel s. 1 e: <br />Work Phone! <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005(3), you are hereby <br />notified that you are prohibited from (check box): <br />I <br />1111 <br />NEW il <br />The basis for this Notice of Restriction of Use is that on you violated Section <br />Open Space Rules, and/or Section of the Eugene Code, 1971, ancb'or ORS <br />��ffl <br />M <br />To wit, you <br />(Description of the violation.) <br />This restriction of use is effective beginning on —, and shall remain in effect until o 71JIlf <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 Spacc Division Director ("the Division Director") <br />within 48 hours (exclusive of weekends) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugerle, OR <br />97402. <br />I <br />consider testimony frorn 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 />Z5 <br />This Notice shall remain lit effect pending any requested hearing, <br />This Notice of Exclusion was delivered to the person named at the top of this Notice. to and time shown above by: <br />C� 2, ig of �erso notice) <br />