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NOTICE OF RESTRICTION OF USE
<br />and Notice of Right to Appeal
<br />D. - 0 '1 t TIME _/� _15" CASE #:
<br />ill- 1< 3
<br />LOCATION (PAR.K/0PEN S PACE):_ A — Y, �11 ��k
<br />- --------- ------- -
<br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Role R-1.005(3), yon are hereby
<br />notified that you are prohibited from (check box):
<br />AK Entering in or using all City of Eugene parks, open spaces or facilities.
<br />X
<br />The basis f "or this Notice of Restriction of Use is that on 09f0i t ion 0 10 of the Park
<br />.. .... ou violated Sect
<br />and Open Space Rules, and'or Section 19 ___ of the ELI gene Code, 1971, and/or ORS To wit, you:
<br />(Description of the violation.)
<br />7—vic
<br />This restriction of use is effective beginning on W7 /0 and shall remain in effect until 1 0 icy /
<br />If YOU enter in or use any City oil Eugene park, open space or facility during the effective period of this Notice, you may be
<br />arrested and charged with crinunal trespass in the, second degree.
<br />Z�-
<br />flu rsu ant to park and Open Space Rule R- 1,074 you are entitled to an in formal hearing to contesi, [Ins N ot ice, A request for an
<br />informal hearing 11YUSt be niade in writing and filed with the Parks & Open Space Division Director ("the Division Direclor")
<br />within 48 hours (cxclusive of weekends) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR
<br />97402.
<br />The Division Director shall schedule as time and place for the informal hearing to be conducted, which shall be acct more than
<br />72 boars (exclusive of weekends) of receipt of the request for hearing, Al. the in f "o-'u 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 tine
<br />incident. The Division Director may exclude anyone, other than yon and those presenting testimony, from [lie informal hearing.
<br />This Notice shall remain in effect pending any requested hearing.
<br />This Notice of Exclusion vvas delivered to the, person earned at the top of this Notice at the date and time shown above bye�
<br />(Signature of person issoung/delivering noticc)
<br />I hereby acknowledge receipt ofthe above Notice on the date arid linic indicated above.
<br />(Signature of perqctn being iSSUCCI the notice)
<br />it ( ti py: Public Work: (hcen Cop� hic Yclk)%v Copy: Repoo ( r, ay = Pink Copy - Recipiew 6old CopY OfficeE Appeal nwix Rc , 04 03
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<br />Re Ad(Jres.s: City
<br />State
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<br />1-'es _ Phone:
<br />Work Phone:
<br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Role R-1.005(3), yon are hereby
<br />notified that you are prohibited from (check box):
<br />AK Entering in or using all City of Eugene parks, open spaces or facilities.
<br />X
<br />The basis f "or this Notice of Restriction of Use is that on 09f0i t ion 0 10 of the Park
<br />.. .... ou violated Sect
<br />and Open Space Rules, and'or Section 19 ___ of the ELI gene Code, 1971, and/or ORS To wit, you:
<br />(Description of the violation.)
<br />7—vic
<br />This restriction of use is effective beginning on W7 /0 and shall remain in effect until 1 0 icy /
<br />If YOU enter in or use any City oil Eugene park, open space or facility during the effective period of this Notice, you may be
<br />arrested and charged with crinunal trespass in the, second degree.
<br />Z�-
<br />flu rsu ant to park and Open Space Rule R- 1,074 you are entitled to an in formal hearing to contesi, [Ins N ot ice, A request for an
<br />informal hearing 11YUSt be niade in writing and filed with the Parks & Open Space Division Director ("the Division Direclor")
<br />within 48 hours (cxclusive of weekends) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR
<br />97402.
<br />The Division Director shall schedule as time and place for the informal hearing to be conducted, which shall be acct more than
<br />72 boars (exclusive of weekends) of receipt of the request for hearing, Al. the in f "o-'u 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 tine
<br />incident. The Division Director may exclude anyone, other than yon and those presenting testimony, from [lie informal hearing.
<br />This Notice shall remain in effect pending any requested hearing.
<br />This Notice of Exclusion vvas delivered to the, person earned at the top of this Notice at the date and time shown above bye�
<br />(Signature of person issoung/delivering noticc)
<br />I hereby acknowledge receipt ofthe above Notice on the date arid linic indicated above.
<br />(Signature of perqctn being iSSUCCI the notice)
<br />it ( ti py: Public Work: (hcen Cop� hic Yclk)%v Copy: Repoo ( r, ay = Pink Copy - Recipiew 6old CopY OfficeE Appeal nwix Rc , 04 03
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