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NOTICE OF RESTRICTION OF USE
<br />and Notice of Right to Appeal
<br />DATE: Qk I is i
<br />LOCATION (PARK /OPEN SPACE):
<br />TIME:
<br />CASE 4
<br />Under the authority of Administrative Or No. 58-03-24-F and Park and Open Space Rule R- 1.00 5(3), you are hereby
<br />notified that you are prohibited from (check box):
<br />.FeK Entering in or using all City of Eugene parks, open space% or facilities.
<br />W
<br />The basis ficir this Notice ol'Restriction of' Use is that oil 1 C you violated Section
<br />(_ tai the Park
<br />and Open Space R Liles, and/or Section qA0 01'111C EUgC11e Code, 197 1, and/or ORS 1`0 wit, vmv 4?—C
<br />(Description of the viol.ation.)
<br />This restriction of use is effective beginning on and shall remain in effect until
<br />fi CHUCF if] M - use, ally City Offugene park, open space or facility during the effective period of this Notice, YOU Mcly lie
<br />arrested and charged with crin trespass in the second degree.
<br />Pursuant to Park and Open Space Rule 8-1.07 you are entitled to an informal hearing to contest this Notice, A 17CCILIC'St for an
<br />infornial hearing Most be made in writing and filed with the Parks & Open Space Division Director l Division Director" ' )
<br />within 48 hours (exclusive of weekends) of receipt of this Notice al. the 1, -1 61 lowing address: t 820 Roosevelt, Blvd., Eugen e, Of t
<br />97402.
<br />The Division Director shall schedule a tirrie and place flor the informal hearing to be conducted, which shall be not lriore than
<br />72 hours (exclusive of weekends) ofrecelpt of the request for hearing. At the informal hearing tile Division Director will only
<br />consider testimony fi -orn you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the
<br />incident, The Division Director may CXCIUde anyone, other than you rend those presenting testiniony, froin the inforinal hearlrHy
<br />This Notice shall remain in effect pending any requested hearing.
<br />This Notice ofExclusion was delivered to the person named at the top of this Notice at the date arc time shown aborve by:
<br />(Signature of Person issuing/delivering, notice)
<br />I herebv acknow led ,, c receipt of , the above Notice on the date and firtle indicated above.
<br />(Signature of'person being issaied the notice)
<br />L-1
<br />4 hiw Cupy. Publw Wotks Glc [L t,4 HC YQI[ow Copy: kcilollCopy hilk 0 qly: H ek: pient tie ld Cop%: Officer Appeed noire R C% We (0,
<br />Nanie: Last First Middle
<br />DOW
<br />lzace/sex:
<br />Res. Address:. City
<br />State Zip
<br />Res Phone:
<br />Work Phc�rte�
<br />Under the authority of Administrative Or No. 58-03-24-F and Park and Open Space Rule R- 1.00 5(3), you are hereby
<br />notified that you are prohibited from (check box):
<br />.FeK Entering in or using all City of Eugene parks, open space% or facilities.
<br />W
<br />The basis ficir this Notice ol'Restriction of' Use is that oil 1 C you violated Section
<br />(_ tai the Park
<br />and Open Space R Liles, and/or Section qA0 01'111C EUgC11e Code, 197 1, and/or ORS 1`0 wit, vmv 4?—C
<br />(Description of the viol.ation.)
<br />This restriction of use is effective beginning on and shall remain in effect until
<br />fi CHUCF if] M - use, ally City Offugene park, open space or facility during the effective period of this Notice, YOU Mcly lie
<br />arrested and charged with crin trespass in the second degree.
<br />Pursuant to Park and Open Space Rule 8-1.07 you are entitled to an informal hearing to contest this Notice, A 17CCILIC'St for an
<br />infornial hearing Most be made in writing and filed with the Parks & Open Space Division Director l Division Director" ' )
<br />within 48 hours (exclusive of weekends) of receipt of this Notice al. the 1, -1 61 lowing address: t 820 Roosevelt, Blvd., Eugen e, Of t
<br />97402.
<br />The Division Director shall schedule a tirrie and place flor the informal hearing to be conducted, which shall be not lriore than
<br />72 hours (exclusive of weekends) ofrecelpt of the request for hearing. At the informal hearing tile Division Director will only
<br />consider testimony fi -orn you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the
<br />incident, The Division Director may CXCIUde anyone, other than you rend those presenting testiniony, froin the inforinal hearlrHy
<br />This Notice shall remain in effect pending any requested hearing.
<br />This Notice ofExclusion was delivered to the person named at the top of this Notice at the date arc time shown aborve by:
<br />(Signature of Person issuing/delivering, notice)
<br />I herebv acknow led ,, c receipt of , the above Notice on the date and firtle indicated above.
<br />(Signature of'person being issaied the notice)
<br />L-1
<br />4 hiw Cupy. Publw Wotks Glc [L t,4 HC YQI[ow Copy: kcilollCopy hilk 0 qly: H ek: pient tie ld Cop%: Officer Appeed noire R C% We (0,
<br />
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