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NOTICE OF RESTRICTION OF USE
<br />and Notice of Right to Appeal
<br />9 TIME: CASE H
<br />DATE: f
<br />LOCATION (PARK110PFN SPACE):
<br />, -),v t_ ("') iAv
<br />Under the authority ol'Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005(3), you are herehv
<br />notified that you are prohibited froin (check box):
<br />fi§ Entering in or using all City of Eugene parks, open spaces or facilities.
<br />The basis for this Notice of Restriction ofUse is that on
<br />you violated Section of the Park
<br />and Open Space Ru I es, and/or Section v Of th Eugene Code, 1971, and/or O R S To wit, vow,
<br />V
<br />(Description of the violation.)
<br />1_4
<br />This restriction of use is effectiv, e 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 t.la€ Notice, you in aye be
<br />arrested and charged with criminal trespass in the second degree.
<br />Pursuant to Park and Open Space Rule R,-1 .074 you are entitled to an informal hearing to contest this Notice, A reques kff an
<br />informal hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Directot")
<br />within 48 hours (exclusive of weekends) of receipt of this Notice at the following address: 1,820 Roosevelt, Blvd., Eugene, 011
<br />97402.
<br />The Division Director shall schedule as time and place for the infortrial hearing to be conducted, which shall be not more than
<br />72 hours (exclusive of'weekends) of receipt cif the request fior hearing. At the inl'ornial hearing the Division Director will only
<br />- der tes wriony froni you, C personnel _nvolved in the incident that resulted in this Notice, and other witne sse t
<br />s o the
<br />cons ti -1 1
<br />incideriL The Division Director nray 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 of Exclusion was delivered to the person natned at the top of this Notice at the date and firrieshown above by,
<br />(Signature of"person issuing/delivering, notice)
<br />(2
<br />I hereby acknowledge receii ol'the above Notice on the date and tirne indicated above,
<br />(Signature of lie son bent i9shied . notice)
<br />WhSgc C,yy: Pub4 W,, R, Gical ( opy: hkt YcHow Coley. lzcporl Copy Nnk Copy: Rocipiem Gold Copy; (Aficei Aj, nwicc Re 0-11;03
<br />Name: Last PY First Middle
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<br />D01-31
<br />Racc/Scv,
<br />1C Au
<br />Res. Address: l 'rdy
<br />rr tc
<br />Zrlc
<br />Zze':_ Ihone�
<br />Work Phone.
<br />Under the authority ol'Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005(3), you are herehv
<br />notified that you are prohibited froin (check box):
<br />fi§ Entering in or using all City of Eugene parks, open spaces or facilities.
<br />The basis for this Notice of Restriction ofUse is that on
<br />you violated Section of the Park
<br />and Open Space Ru I es, and/or Section v Of th Eugene Code, 1971, and/or O R S To wit, vow,
<br />V
<br />(Description of the violation.)
<br />1_4
<br />This restriction of use is effectiv, e 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 t.la€ Notice, you in aye be
<br />arrested and charged with criminal trespass in the second degree.
<br />Pursuant to Park and Open Space Rule R,-1 .074 you are entitled to an informal hearing to contest this Notice, A reques kff an
<br />informal hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Directot")
<br />within 48 hours (exclusive of weekends) of receipt of this Notice at the following address: 1,820 Roosevelt, Blvd., Eugene, 011
<br />97402.
<br />The Division Director shall schedule as time and place for the infortrial hearing to be conducted, which shall be not more than
<br />72 hours (exclusive of'weekends) of receipt cif the request fior hearing. At the inl'ornial hearing the Division Director will only
<br />- der tes wriony froni you, C personnel _nvolved in the incident that resulted in this Notice, and other witne sse t
<br />s o the
<br />cons ti -1 1
<br />incideriL The Division Director nray 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 of Exclusion was delivered to the person natned at the top of this Notice at the date and firrieshown above by,
<br />(Signature of"person issuing/delivering, notice)
<br />(2
<br />I hereby acknowledge receii ol'the above Notice on the date and tirne indicated above,
<br />(Signature of lie son bent i9shied . notice)
<br />WhSgc C,yy: Pub4 W,, R, Gical ( opy: hkt YcHow Coley. lzcporl Copy Nnk Copy: Rocipiem Gold Copy; (Aficei Aj, nwicc Re 0-11;03
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