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NOTICE OF RESTRICTION OF USE
<br />and Notice of Right to Appeal
<br />DATE: Me
<br />TIME,:
<br />D013:
<br />CASE #:
<br />LOCATION (PARKIOPEN
<br />state
<br />- ------------------------
<br />Res. Phone
<br />Under the uthoritw of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1,005(3), you are hereby
<br />notilled that you are prohibited from (check box):
<br />Entering in or using all City of Eugene parks, open spaces or facilities.
<br />X
<br />The basis for this Notice of'Restriction of Use is that on you violated Section 0 �:tllrk
<br />I e 41
<br />and Open Space Rules, and./or
<br />(Description oft e violation.)
<br />tion YI-IJK/all'the Eugene Code, 1971, and/or ORS To wit, you:_
<br />1 1 ZN� P
<br />_J!Q�A� �A- �nJ - Ae,,Jz: F49-L<
<br />This restriction of use is effective beginning on 6� � and shall remain in effect until C24 911144 Y.
<br />If you enter in or use any City of Eugene park, open spacc 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 iril'onnal 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 />The Division Director shall schedule a time and place for the informal hearing to be conducted, which shall be not amore than
<br />72 hours (CXCJL1SiVC ol'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. The Division Director may exclude anyone, other than you and those presenting testimony, from the infornial 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 />- 7"
<br />. .. .... .......... .
<br />(Si gnature of person issuing/delivering notice)
<br />I hereby acknowledge receipt of the above Notice on the date and time indicated above,
<br />(S ignature of person be ing issued the notice "I
<br />White CnpyL Public Works, Glee ,n Cnpy FiW Yd1ow copy: Report COPY Pink CcTy: ReOpP ,nt G uld C opy: 0 f1i cer A ppea I notice Rev, OW03
<br />NW ic,: L'ast Fitst Middit
<br />D013:
<br />Race Lek
<br />Res, Addres& Citv
<br />state
<br />Zip
<br />Res. Phone
<br />work Plume:
<br />G
<br />Under the uthoritw of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1,005(3), you are hereby
<br />notilled that you are prohibited from (check box):
<br />Entering in or using all City of Eugene parks, open spaces or facilities.
<br />X
<br />The basis for this Notice of'Restriction of Use is that on you violated Section 0 �:tllrk
<br />I e 41
<br />and Open Space Rules, and./or
<br />(Description oft e violation.)
<br />tion YI-IJK/all'the Eugene Code, 1971, and/or ORS To wit, you:_
<br />1 1 ZN� P
<br />_J!Q�A� �A- �nJ - Ae,,Jz: F49-L<
<br />This restriction of use is effective beginning on 6� � and shall remain in effect until C24 911144 Y.
<br />If you enter in or use any City of Eugene park, open spacc 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 iril'onnal 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 />The Division Director shall schedule a time and place for the informal hearing to be conducted, which shall be not amore than
<br />72 hours (CXCJL1SiVC ol'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. The Division Director may exclude anyone, other than you and those presenting testimony, from the infornial 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 />- 7"
<br />. .. .... .......... .
<br />(Si gnature of person issuing/delivering notice)
<br />I hereby acknowledge receipt of the above Notice on the date and time indicated above,
<br />(S ignature of person be ing issued the notice "I
<br />White CnpyL Public Works, Glee ,n Cnpy FiW Yd1ow copy: Report COPY Pink CcTy: ReOpP ,nt G uld C opy: 0 f1i cer A ppea I notice Rev, OW03
<br />
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