NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />&AcAvkbv� <br />DATE; TIME: 10 CASE #. <br />1�> <br />LOCATION (PARK/OPEN SPACE):-4- <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 />0 <br />The basis for this Notice of Restriction of Use is that on - 0 , you violated Section LD-1614-141 of the Park <br />and Open Space Rules, and/or Section of the Eugene Code, 1 971, and/or ORS —. To wit, you <br />,!�Am kia Lq TRf PAO u-*-ooE 9gQ5-rA--l`CTEb FX&M 774E J <br />(Description of the violation.) <br />This restriction of use is effective beginning on 0 A�7U4_, and shall remain in effect until D6 14- 261S <br />If you enter in or use any C ity of E ugene park, open space or facility during the effective period or 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 hecuing to contest this Notice. A request liar L <br />informal hearing must be inade in writing and filed with the Parks & Open Space Division Director ("the Division Director") <br />within 48 hours (exclusive orweekends) of receipt of this Notice at the rol lowing address;: 1820 Roosevelt, Blvd., Eugene, OR <br />97402m <br />The Division Director shall schedLiIC a time and place for the informal hearing to be conducted, which shall be not 111ore 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 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 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 />Name� Last First Middle <br />DOB <br />Racc'Scx <br />bCAN <br />U3 <br />Res. Address: City <br />State <br />ip <br />T <br />Res, Phone: <br />Work Phone: <br />TA A ge, i i - 1 - <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 />0 <br />The basis for this Notice of Restriction of Use is that on - 0 , you violated Section LD-1614-141 of the Park <br />and Open Space Rules, and/or Section of the Eugene Code, 1 971, and/or ORS —. To wit, you <br />,!�Am kia Lq TRf PAO u-*-ooE 9gQ5-rA--l`CTEb FX&M 774E J <br />(Description of the violation.) <br />This restriction of use is effective beginning on 0 A�7U4_, and shall remain in effect until D6 14- 261S <br />If you enter in or use any C ity of E ugene park, open space or facility during the effective period or 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 hecuing to contest this Notice. A request liar L <br />informal hearing must be inade in writing and filed with the Parks & Open Space Division Director ("the Division Director") <br />within 48 hours (exclusive orweekends) of receipt of this Notice at the rol lowing address;: 1820 Roosevelt, Blvd., Eugene, OR <br />97402m <br />The Division Director shall schedLiIC a time and place for the informal hearing to be conducted, which shall be not 111ore 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 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 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 />