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NOTICE OF RESTRicrjON OF USE <br />and Notice of Right to Appeal <br />DATE: F <br />LOCATION (PARKJOPEN SPACE): <br />M-A <br />5H51 � ,50 � <br />4 <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule 11-1.005(3), you are hereby <br />notified that you are prohibited from, (check box): <br />W <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall remain in effect until <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 infonnal hearing to contest this Notice. A request for <br />informal hearing must be made in writing and filed wilb the Parks & Open Space Division Director ("the Division Director <br />within 49 hours (exclusiy-e� �—� al <br />JQ—*--Wmmma&--- kAE lo <br />97402. <br />(Signature of person issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />j7reXrLJ IQ6 <br />(Signature of person being issued the notice) <br />Wbae Copy Public Works Green Copy! File Yellow Copy: Rupork Copy Pink Copy: Rmipicnt 0 6 d Copy: CA M er Appea I not i cc kc4 04103 <br />Name: LaLM First Middle <br />DOBI <br />Rac('11' <br />"4 <br />-w <br />Res. Address: City <br />State <br />Zip <br />Res. Phone: <br />work Phune: <br />04 <br />-- - , <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule 11-1.005(3), you are hereby <br />notified that you are prohibited from, (check box): <br />W <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall remain in effect until <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 infonnal hearing to contest this Notice. A request for <br />informal hearing must be made in writing and filed wilb the Parks & Open Space Division Director ("the Division Director <br />within 49 hours (exclusiy-e� �—� al <br />JQ—*--Wmmma&--- kAE lo <br />97402. <br />(Signature of person issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />j7reXrLJ IQ6 <br />(Signature of person being issued the notice) <br />Wbae Copy Public Works Green Copy! File Yellow Copy: Rupork Copy Pink Copy: Rmipicnt 0 6 d Copy: CA M er Appea I not i cc kc4 04103 <br />