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NOTICE OF RESTRICTION OF USE, I
<br />and Notice of Right to Appeal
<br />VIII::
<br />DATL
<br />LOCATION (PARK/0PIEN ): r Al . . .................. . .......... . . . ......................... . ........... . . . . .
<br />NaTne-: Last 1'-'irst Middle D 0 El ��,,ace,s
<br />LH QX"AA/� co
<br />-311
<br />W Res. AddrCity Stte 7iRe%, Pbone: Work lllione:
<br />61 RL AM, ap VN- � Ci
<br />[Juder the authority of Administrative Order No. -03-24—F and Park and Open Space Role R-1.005(3), you are Ilhnereby
<br />notified that you are prohibited from (clieck, box):
<br />�1111p��J��Ilpi
<br />Jim
<br />W
<br />The basis t(.)r this Notice of'Restriction of Use is that on .............................. . . you Violated Section C W4)r the Park
<br />.......................... .
<br />and Open Space Rules, and/or Section of the Eugene Code, 1971, and/or 00R.S 'Fo) Wit,ou:
<br />Y
<br />vlro
<br />. . .. ................................................................................................. . . . . . . . . . . . . . . . . . . . . . . . .. ..
<br />(Description of theviolatiort.)
<br />This restriction of use is effective beginning on/ ....... . . ........
<br />< , and shall remain in effect until
<br />if you enter in or use any City cif Eugene par.k, open space or facility during the effective period of this Notice, you rnay be
<br />arrested and charged with criminal trespass in the second degree,,
<br />Pursuant too Park and Open Space Rule 11.4.074 you are entitled to an infloyrnal hearing to contest this Notice, A requitnd. fi)r an
<br />informal hearing must be made in writing and filed with the Parks &- Open Space Division Director ("the 011'reictr.Pr")
<br />within 48 hours (exclusive ofweekerids) of reccipt of this Notice at the following addresis-1 1820 Roosevelt.., Blvd., Eugene, OR.
<br />97402
<br />The Division Directorshall schedule a time and place for the ifliforinal hearing to be conducted, which shall be not, rnon. than
<br />72 hours (excl�usive of'week.ends) of receipt of the request for, hearing. At thea inforinal hearing the Division Director will only
<br />consider testimony ftorri you., City personnel involved in the incident that resulted in this Notice, and other witne.ssies m the
<br />incident. The DivisionDirector may exclu de anyone,, other than you "orad those present 4ig test iniony, frona ffie i nfujr-mal hearing
<br />This Notice shall remain in effect pending any requested hearing. '11111-1--, N,
<br />This Notice of Exclusion warns delivered to the person named at the top ofthis, Nctfice at th date arid time shown abovic, bly:
<br />a
<br />Ll 0A
<br />(Signature of'person issLding/delivering w.)tict,,,l
<br />I hereby acknowledge receipt ofthe above Notice on the date and time indicated above,
<br />(Signahire of person b6ng issued ffic ritAiciel
<br />"'Ba te h' op,y: Vuhhk: A'r,rL, Grex..-m L'�f.rPyIHIQ yujklw Cov)c Rt.porr, Co p , Pkik, Coplkr.,,6p'ticnil Chylld C)fiflveir ApIpmll rouflo,' Rc,,,,, O -W,'[ 9
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