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NOTICE OF RESTRICTION OF USE N5� <br />and Notice of Right to Appeal <br />DATE: 11ME: � CASE#: <br />LOCATION (PARK/OPEN SPACE). <br />,3- 90 <br />Under the authority of Administrative Order No. 58-03-24-F an t�1 ark 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 />X <br />If you enter in or use ally City Of E'Llgene 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 [t - 1.074 you are entitled to an informal hearing to contest this Notice, A request for ail <br />informal hearing iriust be made in writing and filed with the [larks & 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 time and place for the informal hearing to be conducted, which shall be not triote 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 front You, City personnel involved in the incident that resulted in this Notice, and Other witnesses to the <br />incident. The Division Director nlay 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 ol'Exclusion was delivered to the person named at the top of this Notice at the date and time shown above by <br />W h i Ic Copy: Pu b I i c k ork, , lleen('op ] File YcJk)w Copy RqQrL C(11rry 1 Cupy� Recipien� CoW Copy: 00kcr Appeal nofla� Rcc 01 0 <br />d1d <br />Name: Last Fir. fiddle:. <br />7 A <br />I)OB: <br />Raee,ex <br />S <br />Res, Address City <br />13 �,State <br />dip <br />[des. 11 <br />Work rl ern <br />,3- 90 <br />Under the authority of Administrative Order No. 58-03-24-F an t�1 ark 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 />X <br />If you enter in or use ally City Of E'Llgene 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 [t - 1.074 you are entitled to an informal hearing to contest this Notice, A request for ail <br />informal hearing iriust be made in writing and filed with the [larks & 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 time and place for the informal hearing to be conducted, which shall be not triote 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 front You, City personnel involved in the incident that resulted in this Notice, and Other witnesses to the <br />incident. The Division Director nlay 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 ol'Exclusion was delivered to the person named at the top of this Notice at the date and time shown above by <br />W h i Ic Copy: Pu b I i c k ork, , lleen('op ] File YcJk)w Copy RqQrL C(11rry 1 Cupy� Recipien� CoW Copy: 00kcr Appeal nofla� Rcc 01 0 <br />d1d <br />