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NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />Q <br />LOCATION (PAR /OPEN SPACE): ^j,^44jt*L -;jx7ce,0 <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005(3). you are �here4y <br />notified t yoij are prohibited from (check box): <br />Entering in or using all Ciq of Eugene parks, open spaces or facilities. <br />11•1 <br />The basis for this Notice of Restriction of Use is that on you violated Section 10 0 6 1 of the Park <br />0 61 ) IC <br />and Open Space Rules, and/or Section of the Eugene Code, 1971, and/or ORS - To wit, you:_ <br />- L-/ 1CVL1'10F Z k 7AIX r-"V�- AF;tr.x, 6r-l^�G <br />(Description of the violation.) <br />This restriction of use is effective beginning on (4)21,3 - and shall' remain 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 informal hearing to contest this Notice. A request for an <br />infonnal hearing must be inade in writing and filed with the Parks & Open Space Division Director ("the Division Director") <br />within 48 hours (exclusive 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 place for the informal hearing to be conducted, which shall be not more than <br />72 hours (exclusive ofweekendsl of receipt of the request for hearing. At the informal 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 informal hCariD <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of Exclusion was delivered to the person named at the top of this Notice at thng date and time shown above by <br />U imle 5 <br />(Signature of person issulngidehvering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(Signature of person being issued the notice) <br />White Copy: Public Worke Greun Cnpy: FJe Yeltaw Copy: ReVort Copy Pink Copy: Recipient 6old Copy: Officer Appea@ nouc� R�:V- W03 <br />Name� Last First Middle <br />I)0,11 <br />Raceis X: <br />e0 <br />Res Address: City <br />State <br />Zip <br />Res, Phone: <br />Work Phone <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005(3). you are �here4y <br />notified t yoij are prohibited from (check box): <br />Entering in or using all Ciq of Eugene parks, open spaces or facilities. <br />11•1 <br />The basis for this Notice of Restriction of Use is that on you violated Section 10 0 6 1 of the Park <br />0 61 ) IC <br />and Open Space Rules, and/or Section of the Eugene Code, 1971, and/or ORS - To wit, you:_ <br />- L-/ 1CVL1'10F Z k 7AIX r-"V�- AF;tr.x, 6r-l^�G <br />(Description of the violation.) <br />This restriction of use is effective beginning on (4)21,3 - and shall' remain 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 informal hearing to contest this Notice. A request for an <br />infonnal hearing must be inade in writing and filed with the Parks & Open Space Division Director ("the Division Director") <br />within 48 hours (exclusive 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 place for the informal hearing to be conducted, which shall be not more than <br />72 hours (exclusive ofweekendsl of receipt of the request for hearing. At the informal 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 informal hCariD <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of Exclusion was delivered to the person named at the top of this Notice at thng date and time shown above by <br />U imle 5 <br />(Signature of person issulngidehvering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(Signature of person being issued the notice) <br />White Copy: Public Worke Greun Cnpy: FJe Yeltaw Copy: ReVort Copy Pink Copy: Recipient 6old Copy: Officer Appea@ nouc� R�:V- W03 <br />