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NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />c�g��3� 5 <br />DATE: - --- ---- ----- <br />TIME: <br />CASE Irl: - - --------- <br />/S--- <br />LOCATION (PARKJOPEN SPACE)�_ <br />C <x <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 (cheek box): <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall remain in effect until <br />If you enter in or use any City of Eugene park. open space err facility during the effective period of this Notice, you may be <br />arrested and charged with criminal trespass in the second degree. <br />Pursuant to Park and Open Space Rule R - you are entitled to an inforn hearing to contest this Notice, A request for all <br />informal hearing most be made in writing and filed with the Parks & Open Space Division Director ("tile Division Director") <br />within 49 hours (exclusive of weekends) ofreceipt of this Notice at the following address, 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />'t'he Division Director shall schedule a th and place for the informal hearing to be conducted, which shall be riot inore thari <br />72 hours, (exclusive of weekends) of receipt of the request for hearing. At the informal hearing the Division Director wilt only <br />consider testimony firom you., City personnel involved in the incident that resuIted in this Notice, and other witnesscs to the <br />incident. The Division Director may exclude anyone, other than you arid those presenting testinriony, from the informal hearing, <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of Exclusion wits delivered to the person married at the top ofthis Notice at the date and time shown above by: <br />(j .: ,i f <', <br />(Signature ol'person issuing./delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above, <br />(Signature ofperson being, issued the notice) <br />Whn Copy: Publw Woi L 0 , 47,h( op y Fik. Ye [ k i w Copy Repo Copy y Pink ( upy: Recipierli Gold ('op : OfTiucr Apix2 nvivce R t, t w 4 0 <br />First, IMiMe <br />DOB� <br />/S--- <br />Res. 01V <br />Sthi.te <br />zip <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 (cheek box): <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall remain in effect until <br />If you enter in or use any City of Eugene park. open space err facility during the effective period of this Notice, you may be <br />arrested and charged with criminal trespass in the second degree. <br />Pursuant to Park and Open Space Rule R - you are entitled to an inforn hearing to contest this Notice, A request for all <br />informal hearing most be made in writing and filed with the Parks & Open Space Division Director ("tile Division Director") <br />within 49 hours (exclusive of weekends) ofreceipt of this Notice at the following address, 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />'t'he Division Director shall schedule a th and place for the informal hearing to be conducted, which shall be riot inore thari <br />72 hours, (exclusive of weekends) of receipt of the request for hearing. At the informal hearing the Division Director wilt only <br />consider testimony firom you., City personnel involved in the incident that resuIted in this Notice, and other witnesscs to the <br />incident. The Division Director may exclude anyone, other than you arid those presenting testinriony, from the informal hearing, <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of Exclusion wits delivered to the person married at the top ofthis Notice at the date and time shown above by: <br />(j .: ,i f <', <br />(Signature ol'person issuing./delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above, <br />(Signature ofperson being, issued the notice) <br />Whn Copy: Publw Woi L 0 , 47,h( op y Fik. Ye [ k i w Copy Repo Copy y Pink ( upy: Recipierli Gold ('op : OfTiucr Apix2 nvivce R t, t w 4 0 <br />