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NOTICE OF RESTRICTION OF USE <br />and Notice ofRight to Appeal <br />345�5193on <br />vl� <br />DATE: 00 TIME: 16; CASE 4: 1_�L_Cj 36, 115-1 <br />LOCAT[ON (PARK/OPEN SPACE): <br />1 11 11.-11— / , . ... . ..... <br />Under the authority of Administrative Order No. 58-03-24-1¢ and Park and Open Space Rule R-l 05(3), you are hereby <br />notified that you are prohibited frorn (check box): <br />A Entering in or using all City of Eugene parks, open spaces or facilities. <br />a <br />The basis for this N otice of R.estricti on o U se is that on A you violated Sectiorrp lie Park <br />and Open Space Rules, and/or Section ofthe Eugene Code, 1971, and/or ORS To wit VOL] <br />)5,5 1 re S cc <br />(Description of the violation.) <br />This restriction of use is effective beginning on /0 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 this Notice, yoga may be <br />arrested and charged with criminal trespass in the second degree. <br />Pursuant to Park arid Open Space Rule R- 1.074 you are entitled to an informal hearing to contest this Notice, A request for an <br />informal hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Director"') <br />within 49 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 inforinal hearing to be conducted, which shall be not more than <br />72 hours (exclusive ofweckends) of receipt of the reqUCSt for hearing. At the informal hearing the Division Director will only <br />0 <br />consider testirriony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the <br />incident, The Division Director triav exclude anyone, other than You and those presenting tesfiniony, from the inforinal hearilig. <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of Exclusion was delivered to the person named at the top of this Notice at the date and time shown above by: <br />— 1-4- -- -- � �--- <br />--- -- I ,--- <br />(Signature of vering not i cc) <br />I hereby acknowledge receipt of the above Notice on the date and nine indicated above, <br />(Sigiloaure of person being iSS'LICd the notice) <br />White Copy: Pkihli4 Works Gleen Copy: 1 hg Yeltom Cupy: Repon Copy Pill ; Cop�: Hccipi4nt Gold Copy Officer AppQu� um :e Rm 04 1'(0 <br />Nar= Las( First <br />0013 <br />"S <br />00 0 (0 <br />-9 <br />Re�- Address: <br />State <br />Zip <br />Res, PhoTie: <br />Worl� Phone� <br />7 <br />Under the authority of Administrative Order No. 58-03-24-1¢ and Park and Open Space Rule R-l 05(3), you are hereby <br />notified that you are prohibited frorn (check box): <br />A Entering in or using all City of Eugene parks, open spaces or facilities. <br />a <br />The basis for this N otice of R.estricti on o U se is that on A you violated Sectiorrp lie Park <br />and Open Space Rules, and/or Section ofthe Eugene Code, 1971, and/or ORS To wit VOL] <br />)5,5 1 re S cc <br />(Description of the violation.) <br />This restriction of use is effective beginning on /0 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 this Notice, yoga may be <br />arrested and charged with criminal trespass in the second degree. <br />Pursuant to Park arid Open Space Rule R- 1.074 you are entitled to an informal hearing to contest this Notice, A request for an <br />informal hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Director"') <br />within 49 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 inforinal hearing to be conducted, which shall be not more than <br />72 hours (exclusive ofweckends) of receipt of the reqUCSt for hearing. At the informal hearing the Division Director will only <br />0 <br />consider testirriony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the <br />incident, The Division Director triav exclude anyone, other than You and those presenting tesfiniony, from the inforinal hearilig. <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of Exclusion was delivered to the person named at the top of this Notice at the date and time shown above by: <br />— 1-4- -- -- � �--- <br />--- -- I ,--- <br />(Signature of vering not i cc) <br />I hereby acknowledge receipt of the above Notice on the date and nine indicated above, <br />(Sigiloaure of person being iSS'LICd the notice) <br />White Copy: Pkihli4 Works Gleen Copy: 1 hg Yeltom Cupy: Repon Copy Pill ; Cop�: Hccipi4nt Gold Copy Officer AppQu� um :e Rm 04 1'(0 <br />