NOTICE OF RESTRICTION OF USE <br />and Notice of'Right to Appeal <br />DATE: TIME: CASE #: <br />LOCATION (PARK/OPEN SPACE):f�3'!F_ <br />z <br />gaffe" ast H it Middle <br />1 4 4 Ckj <br />1)013 <br />Race,"Sek <br />I <br />\A <br />tZ vt <br />Ad ity <br />C <br />S tate <br />Zip <br />kes�. Phone: <br />Work Phone: <br />tss: Q <br />The basis for this Notice of Restriction of Use is that on I C-3LZ --, you violated Section C \ U ( 4 the Pak <br />and Open Space Rules, and/or Section of the Eugene Code, 1971 a and/tar ORS To wit, you:_ <br />�- <br />.� � () C 1 �� <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall rernain 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 Notice, you may be <br />arrested and charged with criminal trespass in the second degree. <br />Pursuant to Park and Open Space Rule R-1.074 you are entitled to an infonnal hearing to contest this Notice, A request for an <br />informal hearing must be made in wTiting and filed with the Parks & Open Space Division Director ("the Division Director") <br />Nveekend-,) of rerpi nt nf f hi -, N otion at the fol 1 nwi n g. ad dresq - I R nn%evell. "V IV Enp <br />=2"Lla <br />incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the infornial hearing. <br />This Notice shall rernain in effect pending any requested hearing. <br />This Notice of Exclusion was delivered to the person named at the top of this Notice at the date and tit " ne shown above by: <br />C <br />(Signature ofpon i sAnglldelivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />White Copy: Public Works Green Copy: File <br />