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NOTICE OF RESTRICTION OF USE
<br />and Notice of Right to Appeal
<br />DATF 0" TIME: /4- Y ' CASE 4
<br />I (PARK OPEN SPACL):
<br />CM5 �
<br />LJnder the authority 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 />Entering in or using till City of Eugene parks, open spaces or facilities.
<br />0
<br />The basis for this Notice of' Restriction ol" Use is that on A J, y you violated Section/, o
<br />,010 fthe Park
<br />j j
<br />and Open Space Rules, and"or Section _Y!2 C' of the E ugene Code, 1971, and/or OR S To wit, you:_
<br />M
<br />(Description of the violation,)
<br />This restriction of use is effective beginning on N11 , tarsal shall remain in effect until
<br />I I
<br />If you enter in or use any City ol'F.ugenc park, open space or I "acility (luring the effective period of this Notice, you may he
<br />arrested and charged with criminal trespass in the second degree.
<br />Pursuant to Park and Open Space Rule R - -074 you are entitled to air informal hearing, to contest this Notice. A request f'(.)r an
<br />inflornial hearing must be made in writing and filed wvith 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 />97402.
<br />The Division Director shall schedule as time and place for the informal hearing to be conducted, which shall be not more than
<br />72 hours (exclusive cif weekends) of'receipt oftlic request for hcaring t the informal hearing the Division Director will only
<br />consider testimony fi VOU, (."ity personnel involved in the incident that resulted in this Notice, and other %slinesses to [lie
<br />incident, The Division DircOor inay exclude anyone, other than you and those presenting testiniony, from the infiornial hearing,
<br />This Notice shall remain in effect pending any requested hearing.
<br />this Notice off" was delivered to the person named at the top cal` this Notice at the date and tHne shown above by`�
<br />(Signattireot'perso ?
<br />st.iiiig..deliveringtiot,ice)
<br />4�
<br />I hereby acknowledge receipt of the above Notice on the date and tin indicated above,
<br />(Signature of person being issued the notice)
<br />Wbiw 01)y: Public Works Glv%m Copv: 3 ilc Yd1ow ( opy: Rcp-m Copy Pink Copy: R,ccijpkm Oold ( opy: (H , rwe3 Appoa. notice Re\ 0410
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<br />42, q
<br />Res. Andrcss: City
<br />S1
<br />Res, Mow:
<br />Wotk Phone:
<br />LJnder the authority 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 />Entering in or using till City of Eugene parks, open spaces or facilities.
<br />0
<br />The basis for this Notice of' Restriction ol" Use is that on A J, y you violated Section/, o
<br />,010 fthe Park
<br />j j
<br />and Open Space Rules, and"or Section _Y!2 C' of the E ugene Code, 1971, and/or OR S To wit, you:_
<br />M
<br />(Description of the violation,)
<br />This restriction of use is effective beginning on N11 , tarsal shall remain in effect until
<br />I I
<br />If you enter in or use any City ol'F.ugenc park, open space or I "acility (luring the effective period of this Notice, you may he
<br />arrested and charged with criminal trespass in the second degree.
<br />Pursuant to Park and Open Space Rule R - -074 you are entitled to air informal hearing, to contest this Notice. A request f'(.)r an
<br />inflornial hearing must be made in writing and filed wvith 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 />97402.
<br />The Division Director shall schedule as time and place for the informal hearing to be conducted, which shall be not more than
<br />72 hours (exclusive cif weekends) of'receipt oftlic request for hcaring t the informal hearing the Division Director will only
<br />consider testimony fi VOU, (."ity personnel involved in the incident that resulted in this Notice, and other %slinesses to [lie
<br />incident, The Division DircOor inay exclude anyone, other than you and those presenting testiniony, from the infiornial hearing,
<br />This Notice shall remain in effect pending any requested hearing.
<br />this Notice off" was delivered to the person named at the top cal` this Notice at the date and tHne shown above by`�
<br />(Signattireot'perso ?
<br />st.iiiig..deliveringtiot,ice)
<br />4�
<br />I hereby acknowledge receipt of the above Notice on the date and tin indicated above,
<br />(Signature of person being issued the notice)
<br />Wbiw 01)y: Public Works Glv%m Copv: 3 ilc Yd1ow ( opy: Rcp-m Copy Pink Copy: R,ccijpkm Oold ( opy: (H , rwe3 Appoa. notice Re\ 0410
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