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<br />NOTICE OF RESTRIcrION OF USE (I SAY
<br />and No)fice (if Right to Appeal
<br />TIMF� ('ASEY:�
<br />DATE
<br />l-0(,-ATl0N WARK/OPEN SPA(,'E):____.Q.,1�
<br />Narric: Last first Middle DOW
<br />L
<br />Res- Address� Res. Ptuonc,
<br />Under the authority �.A Administrative Order No. 58-03-24-Fane d Park and Open Space Rule 11-1.005(3), you are heirleby
<br />notifiedl?you are prohibited from (check box).
<br />Entering in or using all City of Eugene parks, open spaces or facilities.
<br />. . ....... . ......................... . . ........ . . . — — -------- ......... .......
<br />"Is,
<br />The basis for thi.. . . . .. . .. . ................ . you Viola Parf-a
<br />s, Nofieu �,,ff estriction Rof'Use is that I ted Scc t -on 050 f t
<br />and Open Space Rules, and/or Section offlie Eugene Code, 1971, and/or OR ro it, Y,,,n,r:---
<br />(Description of the violatkm.,)
<br />This restriction of use is effective beginning onfect until ---
<br />AJ6 and shall remain in el 7j6
<br />If you enter in or use any City of Eugene park, open space or I'acility during the effective period of this N,(,.)tk.,,e, yot'l r1lay the
<br />arrested and charged with criminal trespass in the second degree.
<br />Pun-mant to Park and Open Space Rule R- 1 M74 You are entitled to an informal hearing to clantest this A reicpjic,st for,,in
<br />inforrnal hearing must be made in writing and filoi with the.Parks & Open Space Division Director ("the Division Drriectar—,�
<br />within 48 hours (exclusive of'weekends l of'receipt (,ifthis Notice at the -Ulowing address: 1820 Roosevelt., Blvd., Eugene, 011
<br />97402.
<br />The Division Director shall schedule a time and place ilor the ird'ormal hearing to be conducted, which shiall be not rnolRi ,, than
<br />72 hours (exclusive of weekends) ofreceipt of the request for hearing, At the in forniall hearing The Divi%Mn Director will only
<br />consider testiniony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the
<br />incident. The Division Di rector rnay exclude anyone, other than, you and. those presenting testimony, trrom the infrormal hearink,
<br />Tbis Notice shall remain in effect pending any requested hearing.
<br />This Notice of Exclusion was delivered to the person narned at the top of thisjNii(c( r
<br />I f�date aow
<br />and time shown abby
<br />ovc- �
<br />ww
<br />. . . . . . . . . ............ .... . .............................. . ... . .........................
<br />(Signature of person i-ysuinl-/dc.fivcring noicie')
<br />I hereby ackn(.)Merdgc� receipt of the abovc.,! Notice on the date and time indicated above.
<br />('Signature of person b,.:!ing issued theniotk',es,)
<br />Wlwe. ( opy, P1.1W c 'N urk, Grcxm Ccqiy: h1c, Yellow CLqV, RqorL Copv PIA rUopy� RedpNera (..k.Ad ('c)py; offk:ei! Apjpval
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