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NOTICE OF RESTRICTION OF USE <br />anNo <br />d tice o�1�ppealf Right <br />DA."I"E 'T'l ME CASE 4: <br />LOCA'"HON (I"ARK/OPEN SPACE); <br />I <br />Underthe authority of Administrative Order o. 58-03-24-Fand Park and Open Space Rule R-4.005(3), you are herel:r.q <br />notified thatyou are prohibited from (check box) - <br />*1 Entering in or using all City of Eugene parks, open spaces or facilities. <br />. ... . . .... . . . . ....... . ..... <br />� ..' 4 - U( <br />The basis for this Notice of Restrictii(.,)n oftise is that on . . .............. you violated Section ofthe Park <br />. . .... ... ... <br />and Open Space Rules, and/or Section c ofthe Eugene Code, 1971, and/or ORS 0 wft, yioll!: . ......... <br />.......... <br />s, ( J,d t72J�N, <br />(Description of the violation.) <br />This restriction of use is effective beginning on.... - -.-T and shall remain in effect until <br />. ....... <br />Ifyou enter in or use any City of Fugene park, open space or facility during the effeCtiVr <br />e period of this V14oticc, 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 fin an <br />informal hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division f)iroctor") <br />within 48 hours (exclusive of"we&ends) of receipt ofthis Notice at the ficp1lowing as 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Director shall schedule a time and place for the informal hearing to be coridacted,,hick shall be not more than <br />72 hours (exclusive of'weekends) of receipt ofthe request for hearing. At the informal hearing the Division Director will only <br />consider testiniony froun you, City personnel involved in the incident that resulted in this 1"4ofice, and other witnesses to the <br />incident. The Division l)jrCCt(1)r may exclude anyone, other than you and those presenting testim4any, firorn. the infonnal heaiing. <br />'This Notice shall remain in effect pending any requested hearing. <br />This Notice of" Exclusion was delivered to the person narned at the top of this Notice at. the date aiuf carne shq,.)wn above 1) , y�: <br />P(lj <br />(Signature ofperson issii,iing/d(.°li,,,areriiiL,.�, nic.wticie) <br />I hereby acknowledge receipt of the above Notice on the date and tirne indicated above, <br />tssued the nolk., <br />l 1 <br />x)i <br />(Signatur ofperso� be g i <br />L[�.,JjC W�q'j�'S <br />P (3menCopy: He 'r L'Aluve Copy : Rcpur� ('"P.y Pink Cupy: Recipiera G,,) at/ Ccq)y: Officev Ajppcijnofico. R,,,v 0,V0 3 <br />