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DATE: TIME: CASE #- <br />LOCATION (PARK/OPEN <br />Under the authoritv 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 />NMENZ�M M <br />NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />The basis for this Notice of Restriction of Use is that on you violated Section Lolq�f the Park <br />and Open Space Rules, and/or Suction 1__., of the Eugene Code, 1971, and/or OR _ . TO wrt� yon: <br />IM <br />Tzi; 6tr A G <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall remain in effect until 69 <br />_0&X7LY_1 Auu__ <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- 1.0174 you are entitled to an inlet al hearing to contest this Notice, Arequest 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 />97401 <br />The 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 informal hearing the Division Director will only <br />consider testimony ftom 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 hearlingir. <br />This Notice of Exclusion was delivered to the person named at the top of this Not and time shown above by <br />= <br />I hereby acknowledge receipt of the above Notice on the date and time indicated a <br />(A'person issuing/dolivering notice) <br />Wime Copy: Public Warkq Gyeen Copy: File Yel [ow Copy Rep E Copy Pink Copy; Recipient G b l d Copy: Of fice A rpua I notice PC%, 04103 <br />Narne I List First ',,`,fiddfe <br />L <br />DO 13: <br />Race? se, <br />I-It AT A <br />Res- address: C ity <br />State <br />Zip <br />Re. Phcinc: <br />Work Phone: <br />Under the authoritv 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 />NMENZ�M M <br />NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />The basis for this Notice of Restriction of Use is that on you violated Section Lolq�f the Park <br />and Open Space Rules, and/or Suction 1__., of the Eugene Code, 1971, and/or OR _ . TO wrt� yon: <br />IM <br />Tzi; 6tr A G <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall remain in effect until 69 <br />_0&X7LY_1 Auu__ <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- 1.0174 you are entitled to an inlet al hearing to contest this Notice, Arequest 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 />97401 <br />The 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 informal hearing the Division Director will only <br />consider testimony ftom 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 hearlingir. <br />This Notice of Exclusion was delivered to the person named at the top of this Not and time shown above by <br />= <br />I hereby acknowledge receipt of the above Notice on the date and time indicated a <br />(A'person issuing/dolivering notice) <br />Wime Copy: Public Warkq Gyeen Copy: File Yel [ow Copy Rep E Copy Pink Copy; Recipient G b l d Copy: Of fice A rpua I notice PC%, 04103 <br />