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NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATE: 0 8 1 1 <br />LOCATION (PARICiOPEN SPACEY <br />CASE #: <br />�(- t 3qtf3 <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 />-X Entering in or using all City of Eugene parks, open spaces or facilities. <br />V <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 />RUnUMIL LU L a] 0IJakA- IX - I V 1-t YVU at�, Cam - tv all 1MV1111d IVI all <br />informal hearing must be made in writing and filedwith the Parks & Open Space Division Director ("the Division Director") <br />within 48 hours (ex clusive o f weekends) of recei 51 of thi s, wili Roos, yelt Rly4— jigrgiie, OR <br />F <br />4 97402. <br />7Z nours (c7c 1117177 M T77RUMN) I r Uelpt or Me request ror ricaling. tf 1 5 om Mi Item ing lfir Ljj v i si oil Dircc Lor Ti i I unq <br />consider testimony from you, City personnel involved in the incident that, resulted in this Notice, and other witnesses to the <br />inclderlt The Divi s' )on Director may exclude anyone, other than you and those presenting testimony, from the in formal hearin g. <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of EXCILIS1011 waq delivered to the person named at the top of this Notice <br />he date and time shown above by: <br />(SignaKT4 orperson v ,, , , ulng/delivering notice) <br />White Copy: Public Works Green Copv File Yellow Copy: Report Copy Pink Copy! ReOpicnt G old Copy: 0 fti vcr Artpual notice Pcv 04!W <br />Name Last <br />Firs <br />i e <br />DOB: <br />V <br />F <br />Res. Address: <br />Cily <br />State <br />Zip <br />---------- - -- - --- <br />R es. Phone: <br />Work llhon� <br />e <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 />-X Entering in or using all City of Eugene parks, open spaces or facilities. <br />V <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 />RUnUMIL LU L a] 0IJakA- IX - I V 1-t YVU at�, Cam - tv all 1MV1111d IVI all <br />informal hearing must be made in writing and filedwith the Parks & Open Space Division Director ("the Division Director") <br />within 48 hours (ex clusive o f weekends) of recei 51 of thi s, wili Roos, yelt Rly4— jigrgiie, OR <br />F <br />4 97402. <br />7Z nours (c7c 1117177 M T77RUMN) I r Uelpt or Me request ror ricaling. tf 1 5 om Mi Item ing lfir Ljj v i si oil Dircc Lor Ti i I unq <br />consider testimony from you, City personnel involved in the incident that, resulted in this Notice, and other witnesses to the <br />inclderlt The Divi s' )on Director may exclude anyone, other than you and those presenting testimony, from the in formal hearin g. <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of EXCILIS1011 waq delivered to the person named at the top of this Notice <br />he date and time shown above by: <br />(SignaKT4 orperson v ,, , , ulng/delivering notice) <br />White Copy: Public Works Green Copv File Yellow Copy: Report Copy Pink Copy! ReOpicnt G old Copy: 0 fti vcr Artpual notice Pcv 04!W <br />