NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATE: _4 i <br />WCATION (PARK./OPEN SPACT* <br />TI ME <br />CASE 4 <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-L005(3), you are hereby <br />notified that you are prohibited from (check box): <br />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 on of the Prk a <br />& you violated Sect i <br />If you enter in or use any City of EUgene park, open space or facility during the effective Period of this Notice, you may be <br />arrested and charged with cruninal trespass in the second degree. <br />PUrsuant to Park and Open Space Rule R-1.074 you are entitled to an infiornial hearing to contest this Notice- A request 16r art <br />informal hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Directoll") <br />within 48 hours (exclusive of weekends) of receipt ofthis Notice at the following address: 1820 Roosevelt, Blvd, Eugene, OR <br />97402. <br />The Division Director shall schedule a time and place lor the informal hearing to be condUCtCd, which shall be not more than <br />7 1 2 hours (exclusive ofweekends) ofreccipt of the request for hearing. At the informal hearing the Division D rector will only <br />z 1_ - <br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesscs to the <br />incident, The Division Director may exclude anyone, other than you and those presenting testintony, from the informal hearing. <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of ExchiSiOo was delivered to the person narned at the top of this Notice a the chat - me slip, above ln,\v: <br />ol i " <br />"ItUre o perrs"miss . rn notice) <br />I hereby acknowledge receipt oil' the above Notice on the date nand tinic indicated above. <br />of Person lb' ink issued the <br />WInte Copyi Public Work, 6reml{ 'opy: 1 ire Yelhm (.o7}: Rcporl Cu]* Pillk Copy Rxipienl Gold ( opy: Offiwei App , notice Rc,, OVOI <br />Name st First <br />1) )W <br />GtV <br />State <br />Zip <br />Res, Phone: <br />Work Phone: <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-L005(3), you are hereby <br />notified that you are prohibited from (check box): <br />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 on of the Prk a <br />& you violated Sect i <br />If you enter in or use any City of EUgene park, open space or facility during the effective Period of this Notice, you may be <br />arrested and charged with cruninal trespass in the second degree. <br />PUrsuant to Park and Open Space Rule R-1.074 you are entitled to an infiornial hearing to contest this Notice- A request 16r art <br />informal hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Directoll") <br />within 48 hours (exclusive of weekends) of receipt ofthis Notice at the following address: 1820 Roosevelt, Blvd, Eugene, OR <br />97402. <br />The Division Director shall schedule a time and place lor the informal hearing to be condUCtCd, which shall be not more than <br />7 1 2 hours (exclusive ofweekends) ofreccipt of the request for hearing. At the informal hearing the Division D rector will only <br />z 1_ - <br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesscs to the <br />incident, The Division Director may exclude anyone, other than you and those presenting testintony, from the informal hearing. <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of ExchiSiOo was delivered to the person narned at the top of this Notice a the chat - me slip, above ln,\v: <br />ol i " <br />"ItUre o perrs"miss . rn notice) <br />I hereby acknowledge receipt oil' the above Notice on the date nand tinic indicated above. <br />of Person lb' ink issued the <br />WInte Copyi Public Work, 6reml{ 'opy: 1 ire Yelhm (.o7}: Rcporl Cu]* Pillk Copy Rxipienl Gold ( opy: Offiwei App , notice Rc,, OVOI <br />