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DATE: 1030 <br />LOCATION (PARK11 <br />Nani rest z g <br />eV -1 It kddress: <br />C <br />(") A�d <br />NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />TIME: CASE #: <br />MiAlle <br />("ity State Zip <br />i <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 />Entering in or using all City of Eugene parks, open spaces or racifities. <br />X I <br />X <br />This restriction of use is effective beginning on )O°30 , and shall remain in effect until <br />If you enter in or use any City of Eugene park, open space or tacifity during the effective period of this Notice, YOU rnay be <br />arrested and charged with CTiannal trespass in the second degree. <br />Pursuant to Parkarid Open Space Role R-1,074 You are entitled to an informal hearing to contest this Notice. A reqLICSt for all <br />informal hearing foUst be made in writing and filed with the Parks & open Space Division Director ("the Division Director") <br />within 48 hours (exclusive ofwcckends) ofreceipt of this Noticeat the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />The Division Director shall schedule as time and place for the informal hearing to be conducted, which shall be not J than <br />72 hours (exclusive of weekends) of receipt of the request for hearing, A t the inf'ornial hearing the Division Director will only <br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the <br />incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the in Formal hearing, <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of [-,,xc]Liqlc)n was delivered to the person earned at the top of this Notice at the <br />I hereby acknowledge receipt ofthe above Notice ()n the dlite and finie indicated above. <br />rise shownabove by <br />rig/delivering notice.) <br />of person being issued the n <br />wlu c Cvpy: Public wolk (hevu ( opy: File yollow Copy: Report Cup • Pink ( ti4)y: Recipera Gold Cop,y. Officer Appeal notice R e 0-4/0 3 <br />