NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATE TIME: ---- 03 L CASE <br />LOCATION (PARK/OPEN SPACE) <br />- 2-7 <br />- L4 0 W A 5 R I N 6 - 17)(V / wT S "T P <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 />Entering in or using all City of Eugene parks, open spaces or facilities. <br />11 <br />The basis for this Notice of Restriction of Use is that on -71-2p-Lf- you violated Section of the Park <br />and Open Space Rules, and/or Section — of the ELEgene Code, 1971, and/or ORS i To wit, you <br />— EWC <br />S �gi3 �M OlfA rA p tt . 4 1A I tv F <br />Pursuant to Park and Open Space Ru R.- 1 .0174 you are entitled to an informal heath to contest this N once. 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 three and place for the info rinal 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 informal hearing the Division Director will only <br />consider testiniony 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 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 the date and time shown above by: <br />-- C/\"j -14aj --------------- — <br />(Signature ol'person issuing/delivering notice) <br />I hereby -Amow V <br />led e re-ei fofihe above 'Notice on the cute and time <br />& <br />Whitt ( 'opy P uh I i : : Work Grcc!n Copyi File Yellow Copy: Report Copy Pmk Copy: Recipient <br />GkA d Copy 0 fficer A prwa I nofi, Rev, (A103 <br />Name: Last First %I Iddle <br />e� g , <br />rat <br />7CL <br />Ra C'N" <br />Res. Addrc-,s: city <br />L14z <br />State <br />i <br />Zp <br />' , <br />�QAC>S <br />Res. Phone� <br />Work P hone: <br />U 6 <br />8L-11 L > N <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 />Entering in or using all City of Eugene parks, open spaces or facilities. <br />11 <br />The basis for this Notice of Restriction of Use is that on -71-2p-Lf- you violated Section of the Park <br />and Open Space Rules, and/or Section — of the ELEgene Code, 1971, and/or ORS i To wit, you <br />— EWC <br />S �gi3 �M OlfA rA p tt . 4 1A I tv F <br />Pursuant to Park and Open Space Ru R.- 1 .0174 you are entitled to an informal heath to contest this N once. 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 three and place for the info rinal 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 informal hearing the Division Director will only <br />consider testiniony 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 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 the date and time shown above by: <br />-- C/\"j -14aj --------------- — <br />(Signature ol'person issuing/delivering notice) <br />I hereby -Amow V <br />led e re-ei fofihe above 'Notice on the cute and time <br />& <br />Whitt ( 'opy P uh I i : : Work Grcc!n Copyi File Yellow Copy: Report Copy Pmk Copy: Recipient <br />GkA d Copy 0 fficer A prwa I nofi, Rev, (A103 <br />