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<br />DATE: IV Atz I
<br />LOCATION (PARK/OPEN SPACE)�
<br />NOTICE OF RESTRICTION OF USE
<br />and Notice of Right to Appeal
<br />TIME: CAS 41
<br />-
<br />�)!
<br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005(3), you are herebv
<br />notified that you are prohibited from (check box):
<br />Entering in or using all City of Eugene parks, open spaces or facilities.
<br />"rhe basis for this Notice of Restriction OfUSC is that oil
<br />you violated Section /. d10 0-,�,rthc Park
<br />and Open Space Rules, and/or Section ofthel- 1971, and/or ORS To wit, you:
<br />CI-15PT <:71 -DJ Ard'dis VT� 1 7 �7�,f 1-
<br />(Description of the violation.)
<br />This restriction of use is effective beginning on
<br />_t q_, and shall remain in effect until]69RIV
<br />If you enter in or use any City of Eugene park, open space or hicility during the effective period of this Notice, you nlay Ire
<br />arrested and charged with criminal trespass in the sect iii 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 (or an
<br />informal hearing niust, 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 Roosevelt, Blvd, Eugene, OR
<br />97402.
<br />I he Division Director shall schedule a, time and place for the informal hearing to be conducted, which shall be not niore tlrArrrr
<br />72 11OUrs (exclusive of' weekends of 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 restilled in this Notice, and oll witnesses to the
<br />incident. The D ig. 1 sion 1) irec tor n exclude anyone, other than you and those p resenting lest i mony, firoin the 1 nft)rmal heaxi jig
<br />This Notice shall remain in effect pending any requested hearing.
<br />This Notice ol'Exclusion was delivered to the person natured at the top ofthis N'ot °e ail. the date and tirne shown above by
<br />A '3,
<br />W �,
<br />(S, lati-IFCol'person issuing /deliveringnotice)
<br />I hereby acknowledge receipt ol'the above Notice on the date' and time indicated above,
<br />(SignLIUM of person being issued the notice)
<br />Whiie Cup Public Work, 61c(u(op) File Y"HowColly RcIporlCopy Pink Copy , Ri�cipwm 4 ,Ad Copy: OflTcei AppoA rioli4;o, Rcv, (WAY',
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<br />Res- Address: City State Zip
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<br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005(3), you are herebv
<br />notified that you are prohibited from (check box):
<br />Entering in or using all City of Eugene parks, open spaces or facilities.
<br />"rhe basis for this Notice of Restriction OfUSC is that oil
<br />you violated Section /. d10 0-,�,rthc Park
<br />and Open Space Rules, and/or Section ofthel- 1971, and/or ORS To wit, you:
<br />CI-15PT <:71 -DJ Ard'dis VT� 1 7 �7�,f 1-
<br />(Description of the violation.)
<br />This restriction of use is effective beginning on
<br />_t q_, and shall remain in effect until]69RIV
<br />If you enter in or use any City of Eugene park, open space or hicility during the effective period of this Notice, you nlay Ire
<br />arrested and charged with criminal trespass in the sect iii 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 (or an
<br />informal hearing niust, 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 Roosevelt, Blvd, Eugene, OR
<br />97402.
<br />I he Division Director shall schedule a, time and place for the informal hearing to be conducted, which shall be not niore tlrArrrr
<br />72 11OUrs (exclusive of' weekends of 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 restilled in this Notice, and oll witnesses to the
<br />incident. The D ig. 1 sion 1) irec tor n exclude anyone, other than you and those p resenting lest i mony, firoin the 1 nft)rmal heaxi jig
<br />This Notice shall remain in effect pending any requested hearing.
<br />This Notice ol'Exclusion was delivered to the person natured at the top ofthis N'ot °e ail. the date and tirne shown above by
<br />A '3,
<br />W �,
<br />(S, lati-IFCol'person issuing /deliveringnotice)
<br />I hereby acknowledge receipt ol'the above Notice on the date' and time indicated above,
<br />(SignLIUM of person being issued the notice)
<br />Whiie Cup Public Work, 61c(u(op) File Y"HowColly RcIporlCopy Pink Copy , Ri�cipwm 4 ,Ad Copy: OflTcei AppoA rioli4;o, Rcv, (WAY',
<br />
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