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NOTICE OF RESTRICTION OF USE
<br />and Notice of Right to Appeal
<br />DATE: TIME! 0 __ ----
<br />LOCATION (PARK/cOPFN SPACE):
<br />Under 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 />PC — Entering in or using all City of Eugene parks, open spaces or facilities.
<br />The basis for this Notice of Restriction of Use is that on you violated Section of the Park
<br />and Open Space Rules, and/or Sectiotl
<br />ME
<br />of the Eugene Code, 1971, andicar OR
<br />15f7le- ye>74'
<br />"r wit you:
<br />(Description ofthe violation.)
<br />This restriction of use is effective beginning on p q -main in effect untilpjq/
<br />and shall rc
<br />If you enter In or use any City ofFugene park, open space or facility during the effective period ofthis Notice, you may 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 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 48 hours (exclusive of weekends) of receipt of this Notice at the following address: 1820 lZoosevelt, Blvd., Eugene, Oil
<br />97402.
<br />The Division Director shall schedule as unic and place for the informal hearing to be conducted, which shall be not more than
<br />1�
<br />72 hours (cxc1u of'weckends) of'receipt of the request for hearing. At the informal hearing ' D
<br />the ivision Direcor t will only
<br />consider testimony fro You, ()ty personnel involve(] in the incident that resulted in this Notice, and other witnesses to the
<br />incident, The Division Director may cxcludeanyone, other than you and those presenting testimony, from the inform al hearing.
<br />This Notice shall remain in effect pending any requested hearing. C__
<br />This Notice of Exclusion was delivered to the person narned at the top of this N
<br />z
<br />vering notice)
<br />I hereby acknowledge receipt of the above Notice on the date and time indicath4,e6ove,
<br />cin,
<br />i g issued the notice)
<br />i � n j W ir , 0 f - r & SO wl
<br />Wlwc Cupy: Nblic Wwk, Gnxn(.opy� fitc yd4)s Copy RaP vrl ("'opy Pink Copy Recipient Gold (opy_ Oflker Ajppi�, mn4:4 RL"", 0
<br />rat the date and time shown above 1)y:
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<br />Work Phone:
<br />Under 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 />PC — Entering in or using all City of Eugene parks, open spaces or facilities.
<br />The basis for this Notice of Restriction of Use is that on you violated Section of the Park
<br />and Open Space Rules, and/or Sectiotl
<br />ME
<br />of the Eugene Code, 1971, andicar OR
<br />15f7le- ye>74'
<br />"r wit you:
<br />(Description ofthe violation.)
<br />This restriction of use is effective beginning on p q -main in effect untilpjq/
<br />and shall rc
<br />If you enter In or use any City ofFugene park, open space or facility during the effective period ofthis Notice, you may 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 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 48 hours (exclusive of weekends) of receipt of this Notice at the following address: 1820 lZoosevelt, Blvd., Eugene, Oil
<br />97402.
<br />The Division Director shall schedule as unic and place for the informal hearing to be conducted, which shall be not more than
<br />1�
<br />72 hours (cxc1u of'weckends) of'receipt of the request for hearing. At the informal hearing ' D
<br />the ivision Direcor t will only
<br />consider testimony fro You, ()ty personnel involve(] in the incident that resulted in this Notice, and other witnesses to the
<br />incident, The Division Director may cxcludeanyone, other than you and those presenting testimony, from the inform al hearing.
<br />This Notice shall remain in effect pending any requested hearing. C__
<br />This Notice of Exclusion was delivered to the person narned at the top of this N
<br />z
<br />vering notice)
<br />I hereby acknowledge receipt of the above Notice on the date and time indicath4,e6ove,
<br />cin,
<br />i g issued the notice)
<br />i � n j W ir , 0 f - r & SO wl
<br />Wlwc Cupy: Nblic Wwk, Gnxn(.opy� fitc yd4)s Copy RaP vrl ("'opy Pink Copy Recipient Gold (opy_ Oflker Ajppi�, mn4:4 RL"", 0
<br />rat the date and time shown above 1)y:
<br />
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