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NOTICE OF RESTRICTION OF USE <br />DATE: 368 <br />LOCATION (PARKJOPEN SPACE): <br />and Notice of Right to Appeal <br />TIME: <br />ALC& A0 65 JAI� <br />----- - . ......... <br />S L AV/ <br />E� <br />Na t H s N I AW I t; <br />DI <br />R �Se <br />Z) <br />_a� <br />L43 <br />Res- ' 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 herehv <br />notified that you are prohibited from (check box): <br />Entering in or using all City of Eugene parks, open spaces or facilitic%. <br />the Park <br />To wit, you: <br />'44wza� &V <br />(,Description of the violation.) <br />This restriction of use is effective beginning on & - �W , and shall remain in effect unfill 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 />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 ("the Division Director") <br />within 4s, hours (exclusive ol of receipt ofthis Notice at the flollowing address; 1820 Roosevelt, Blvd, Eugene, OR <br />97402. <br />Tire 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 of weekends) of'receipt of the request for hearing. At the intornial 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 info mga hearing, <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice or Exclusion was delivered to the person named at the top of this N tice ate and t' Ti shown above by: <br />a <br />— ----- ---- - - - ----- <br />(S ignatur e of p ;e i qsu ing�de I ivering �Joj 2ce) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />4en <br />ignai ot'pen. being <br />V - I <br />White Copy: Public Works Green Cupy� FAA Y LH ki W Copy RVPurt ( upy Pink Copy, Recipient Gold Copy: Offim Appeal notice Rev. 04x'03 <br />