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NOTICE OF RESTRIcTiON OFUSE t�,515,g <br />and Notice of Right to Appeal <br />Tl ME: y <br />CASE U: <br />L,OCATION (PARIC/OPEN SPA( X1_ ,E -- ------- - P <br />_51L W4 8a,� It . . . . . . . .. ....................................................... .. .. . . ... . . . <br />................... <br />Mame:: Last First MjdWe Q()B, <br />6 <br />L, <br />wooz I ..... . <br />Res� Address� City State Zip Res. Phone: <br />City <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005(3), you are lkervdby <br />notified that you are prohibited from (check box): <br />I <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />................ . . ..................... . . _ . . . . . . .............................................................................................. . . . . ........... . . . . . . . . . . . . . . ............. <br />The basis for this Notice of'Restrictio n. ol'Use is that on . . . . . . . . . . . ............................................. you violated Section If , G of the Park <br />.................. . <br />and Open Space Rules, an&or Section o,.)f the Eugene Code, 19 7 1, and/or- OR S -1 - -------------------------- —, 'To wit, <br />-ra,_�� 22 x _�p ............ __-­.._­­­­ . . . . ................................................................................. <br />(Description ofthe violation.) <br />This restriction of use is effective beginning onanshallremain in effect until D <br />L, "dITIT <br />If you enter in or use any City, cul` Eugene park, open space or facility during the effective period ofthis Notice, you riaay be <br />arrested and charged with criminal trespass in the second degree. <br />Pursuant to Park and Open Splacc Rule R- 1.074 you are entitled to an informal hearing to contest this Notice. A request f6i, an <br />infbmial hearing must be Made in writing and filed with the Parks & Open Space Division Director ("the Division Dirieictor") <br />within 48 hours (exclusive of weekends) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugeue, Olt <br />97402. <br />The, Division Director shall schedule a time and place for the informal hearing to be conduved, which shall be not rniore, tfizin <br />72 h0UrS (CXCILISiVe of weekends) of'receipt of the request for hearing. At the informal hearing the F)ivision Director will only <br />consider testimony fTom you, City personnel involved in the incident that resulted in this Notice, and other witniesses, to the <br />incident. The Division Director may exclude anyone, other than you and those presenting lestirnot"iy, fron,i !fie infoillial hiearing,, <br />This Notice shall rernain in effect pending any requested hearing,. <br />This Notice of Fxclusion was deHvered tong the person narned at (lite top of this Notice at the date and fline shown. above by�: <br />. . . . . ........................................ <br />(Signaiu.re oifpers(..�n <br />1. hereby acknoydedge reecipt olf the above Notice on the date and time indicated above, <br />... . ........ ... <br />(Signamre of'person being, issued thit,rnowtuo ,:;t <br />White. Copy: Publio "ala d(s Green (',Opy�. Hk1 , V01ow Copy; Repcfl (7opy Nnk Copy; kmipicnt Goid Copy, DffkcF R Apped r1olice Rre" (W'03 <br />