NOTICE OF RESTRicrION OF USE <br />and Notice of Right to Appeal <br />DATE� TI M E: CASE 4" <br />b*� Sao 1 <br />LOCATION (PARK11OPEN SPACE):_ <br />Under the authority of Administrative Order No. 58-03-24-Fand Park and Open Space Rule R-1.005(3), you are hereby <br />notified that you are prohibited from (check box): <br />J� Entering in or using all City of Eugene parks, open spaces or facilities. <br />W <br />The basis for this Notice of Restriction of Use is that on 0 C> VOLI violated Section ofthe Park <br />and Open Space Rules, and or Section offfie Eugene Code, 1971, and .lor ORS 1'o wit, you: <br />A 6r AL Fy <br />�Dcscrjption ofthe violation,) <br />This restriction of use is effective beginning on 4 5 — and shall nernain in effect until <br />If you enter in or use any City of Eugene park, open space or facility during the effective period of this Note e, you may be <br />arrested and charged with criminal trespass in the second degree, <br />Pursuant to Park and Open Space Rule R-I .074 you are entitled to an informal hearing to contest this Notice. A request for an <br />in]"brinal hearing must be arcade in writing and filed with the Parks & Open Space Division Director ("the Division Director") <br />within 49 hours, (exclusive ofweekends) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Director shal schedule a time and place fbr the informal hearing to be conducted, which shall be not a sty thari <br />7 hours (exclusive of'weekends) of receipt of the request for hearing. At the informal hearing the Division Director will tail), <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 rnay eXClUde anyone, other than you and those presenting testimony, froin the informal hearing, <br />This Notice shall remain in effect pending any requested hearing. <br />'this Notice cat Exclusion was delivered to the person narned at the top of this Notice at [lie date and time shown above by: <br />aure of person issuing/deli vering not lee) <br />(Si t <br />a Z71 <br />I hereby acknowledge reccipt of the above Notice on the date and time indicated above. <br />acknowledge <br />of person being issued the nonce) <br />eVhnu' Copy, Public %k ork, Greell ( opy <br />, H le YCH,3%," Cop} Rq)on k"opy PiA Copy: Rocipiem GCs 4d (,'opv: U ficer Appe6� 2k)[Eve <br />NarnQ Last First Midifie <br />A- <br />1)08�, <br />R�ace/sex- <br />Res (ldress: Gly <br />State <br />zit <br />Res, Plionei <br />Work Plione: <br />L-6gy <br />Under the authority of Administrative Order No. 58-03-24-Fand Park and Open Space Rule R-1.005(3), you are hereby <br />notified that you are prohibited from (check box): <br />J� Entering in or using all City of Eugene parks, open spaces or facilities. <br />W <br />The basis for this Notice of Restriction of Use is that on 0 C> VOLI violated Section ofthe Park <br />and Open Space Rules, and or Section offfie Eugene Code, 1971, and .lor ORS 1'o wit, you: <br />A 6r AL Fy <br />�Dcscrjption ofthe violation,) <br />This restriction of use is effective beginning on 4 5 — and shall nernain in effect until <br />If you enter in or use any City of Eugene park, open space or facility during the effective period of this Note e, you may be <br />arrested and charged with criminal trespass in the second degree, <br />Pursuant to Park and Open Space Rule R-I .074 you are entitled to an informal hearing to contest this Notice. A request for an <br />in]"brinal hearing must be arcade in writing and filed with the Parks & Open Space Division Director ("the Division Director") <br />within 49 hours, (exclusive ofweekends) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Director shal schedule a time and place fbr the informal hearing to be conducted, which shall be not a sty thari <br />7 hours (exclusive of'weekends) of receipt of the request for hearing. At the informal hearing the Division Director will tail), <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 rnay eXClUde anyone, other than you and those presenting testimony, froin the informal hearing, <br />This Notice shall remain in effect pending any requested hearing. <br />'this Notice cat Exclusion was delivered to the person narned at the top of this Notice at [lie date and time shown above by: <br />aure of person issuing/deli vering not lee) <br />(Si t <br />a Z71 <br />I hereby acknowledge reccipt of the above Notice on the date and time indicated above. <br />acknowledge <br />of person being issued the nonce) <br />eVhnu' Copy, Public %k ork, Greell ( opy <br />, H le YCH,3%," Cop} Rq)on k"opy PiA Copy: Rocipiem GCs 4d (,'opv: U ficer Appe6� 2k)[Eve <br />