�1 <br />,J-&e <br />,23 <br />DATF <br />NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />LOCATION (PAIMMM'N SPACE): <br />IL <br />CA S F fi: ­7 7 7�) <br />Under the authority of Administrative Order No. 58-03-24-F and Parkand glen Space Rule R-1.005(3), you are hereby <br />notified that you are prohibited from (clieck box). <br />10 Entering in or using all City of Eugene parks, open spaces or facilities. <br />The basis for this Notice of [Zesn-iction of Use is that on <br />0 y violated Section of the Park <br />d0pen Space It les, and For Section JELI,gene(Fode, 1971, and/ot 0 W ymr <br />_V, t C o f <br />(Description ofthe violation.) <br />This restriction of use is effelive beginning on and shall remain in effect until <br />II'vou enter in or use any City of F-Ugene park, open q)ace oi faCilitV (Wring the effective period of1his Notice, yoLi nmy be <br />Z7 <br />arrested and charged with crininial trespass in the second degree, <br />Pursuant to Park and Open Space Rule R you are enfitled to an int "ortrial hearing to contest this Notice A request For an <br />informal hearing MUSt he niade in writing and filed with the Parks & Open Space Division Director ("the Division Director") <br />within 48 hours (exclusive of'weekend i) 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 for the informal hearing to be conducted, which sliall be not morc tle <br />72 hours (exclLisive ofwcekends) ot'receipt of the request for hearing. At the informal hearing the Division Director will only <br />consider testimony from you, City personnel involved in the incident that resL. in this Notice, and other witnesses to the <br />incident- The Division Director inay exclude anyone, other than you and those presenting testirriony, from [lie infionnal hearing, <br />This Notice shall remain in effect pending any requested hearing. <br />`mis Notice of Fxclusion was delivered to the person narned at the top of this Nfcy'c I at the date and tisane shown above by: <br />(Si a[Lif 0f'j)0rS0i1 iSSUn1g, �dchveriror, notice) <br />I hereby acknowledge receipt of the above Notice on the clate and time indicated above, <br />(� r attire erg person being issued the nc)lice) <br />W hm t op Public Works Olen Copy, filo YeHow opy RcPoNl 4 opy Pink Cop Recipicni (jold t owf: Cglkcy ApIwJ1 mm� e Rev 04'W', <br />First <br />wr Avi <br />f 7 <br />ties l Address C i <br />slate <br />Phone: <br />W(H Phonic: <br />Under the authority of Administrative Order No. 58-03-24-F and Parkand glen Space Rule R-1.005(3), you are hereby <br />notified that you are prohibited from (clieck box). <br />10 Entering in or using all City of Eugene parks, open spaces or facilities. <br />The basis for this Notice of [Zesn-iction of Use is that on <br />0 y violated Section of the Park <br />d0pen Space It les, and For Section JELI,gene(Fode, 1971, and/ot 0 W ymr <br />_V, t C o f <br />(Description ofthe violation.) <br />This restriction of use is effelive beginning on and shall remain in effect until <br />II'vou enter in or use any City of F-Ugene park, open q)ace oi faCilitV (Wring the effective period of1his Notice, yoLi nmy be <br />Z7 <br />arrested and charged with crininial trespass in the second degree, <br />Pursuant to Park and Open Space Rule R you are enfitled to an int "ortrial hearing to contest this Notice A request For an <br />informal hearing MUSt he niade in writing and filed with the Parks & Open Space Division Director ("the Division Director") <br />within 48 hours (exclusive of'weekend i) 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 for the informal hearing to be conducted, which sliall be not morc tle <br />72 hours (exclLisive ofwcekends) ot'receipt of the request for hearing. At the informal hearing the Division Director will only <br />consider testimony from you, City personnel involved in the incident that resL. in this Notice, and other witnesses to the <br />incident- The Division Director inay exclude anyone, other than you and those presenting testirriony, from [lie infionnal hearing, <br />This Notice shall remain in effect pending any requested hearing. <br />`mis Notice of Fxclusion was delivered to the person narned at the top of this Nfcy'c I at the date and tisane shown above by: <br />(Si a[Lif 0f'j)0rS0i1 iSSUn1g, �dchveriror, notice) <br />I hereby acknowledge receipt of the above Notice on the clate and time indicated above, <br />(� r attire erg person being issued the nc)lice) <br />W hm t op Public Works Olen Copy, filo YeHow opy RcPoNl 4 opy Pink Cop Recipicni (jold t owf: Cglkcy ApIwJ1 mm� e Rev 04'W', <br />