NOTICE OF REs'rRICTION OF USE <br />and Notice offfight to Appeal <br />DATF,'� TIME`: CASE ii <br />LOCATION (PARK/0M "� N � P A, C F'): <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005(3), you are hereliv <br />notified that you are prohibited from (clack box): <br />X _ Entering in or using all City of Eugene parks, open spaces or facilities. <br />a <br />The basis for this Notice ol"Restriction of Use is that oil _51 (_ - _ you violated Section / L 1 0 - of the Park <br />and Open Space Rules, and/or Section <br />so <br />(Description oftlic violation,) <br />__ of the Eugene Code., 1971, and/or ORS To wn, you: <br />4 -J 4 a of kfim, rw4v& <br />vrog <br />This restriction of use is effective beginning on and shall remain in effect until 0 � 0_s / <br />If you enter in or use any City of Eugene park, open space or facihty during the effective period of this Notice, you may be <br />arrested and charged with criniinal trespass in the second degree, <br />Pursuant to Park and Open Space Rule R-1 .074 ycru ai-e entitled to an informal hearing to contest this Notice. A request f6r an <br />informal hearing must be made in writing and filed with the Parks & Open Space Division Director (' Division Director") <br />Within 48 h0UrS (eXCI USiVe of weekends) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Director shall schedule a time and placc for the informal hearinc to be conducted, winch shall be not more than <br />72 hours (exclusive of weekends) of receipt of the request l'or hearing. At the informal hearin the Division Director will only <br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnes�ses to the <br />incident. The Division Director may exclude anyone, other than you and those presenting tcstimony,froni the inforinal hearing - <br />This Notice shall remain in effect pending any requested hearing, Z7 <br />This Notice of Exelusion was delivered to the person named at the top of thi 1 �1 �_Ice at the date and time shown above by: <br />(.S)(gn tore cal person issuln notice) <br />Z�' <br />t hereby acknowledge receipt of the above Notice on the date and tulle indicA�­ibovc, <br />C'� <br />(Si 'naiure of person be <br />IrIg iSSLIed the notice) <br />WUL 4 opy Public WoE k� G­e-1 4 opv- Fil� Y'�j km 4 upy: Repol opy Pink (opy Roo ipin 6o'd Cop�: Offiiccr %Jlpcal no6cc R'o% fWW, <br />f asr <br />N Middle <br />DO <br />R a cc "S e, <br />�M <br />�23 <br />Ai <br />��5 <br />Ikes. tAkddr�essl ('jtV <br />fs <br />State <br />zil') <br />Re�. Mono <br />Work Mic <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005(3), you are hereliv <br />notified that you are prohibited from (clack box): <br />X _ Entering in or using all City of Eugene parks, open spaces or facilities. <br />a <br />The basis for this Notice ol"Restriction of Use is that oil _51 (_ - _ you violated Section / L 1 0 - of the Park <br />and Open Space Rules, and/or Section <br />so <br />(Description oftlic violation,) <br />__ of the Eugene Code., 1971, and/or ORS To wn, you: <br />4 -J 4 a of kfim, rw4v& <br />vrog <br />This restriction of use is effective beginning on and shall remain in effect until 0 � 0_s / <br />If you enter in or use any City of Eugene park, open space or facihty during the effective period of this Notice, you may be <br />arrested and charged with criniinal trespass in the second degree, <br />Pursuant to Park and Open Space Rule R-1 .074 ycru ai-e entitled to an informal hearing to contest this Notice. A request f6r an <br />informal hearing must be made in writing and filed with the Parks & Open Space Division Director (' Division Director") <br />Within 48 h0UrS (eXCI USiVe of weekends) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Director shall schedule a time and placc for the informal hearinc to be conducted, winch shall be not more than <br />72 hours (exclusive of weekends) of receipt of the request l'or hearing. At the informal hearin the Division Director will only <br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnes�ses to the <br />incident. The Division Director may exclude anyone, other than you and those presenting tcstimony,froni the inforinal hearing - <br />This Notice shall remain in effect pending any requested hearing, Z7 <br />This Notice of Exelusion was delivered to the person named at the top of thi 1 �1 �_Ice at the date and time shown above by: <br />(.S)(gn tore cal person issuln notice) <br />Z�' <br />t hereby acknowledge receipt of the above Notice on the date and tulle indicA�­ibovc, <br />C'� <br />(Si 'naiure of person be <br />IrIg iSSLIed the notice) <br />WUL 4 opy Public WoE k� G­e-1 4 opv- Fil� Y'�j km 4 upy: Repol opy Pink (opy Roo ipin 6o'd Cop�: Offiiccr %Jlpcal no6cc R'o% fWW, <br />