1,41
<br />NOTICE OF RESTRICTION CSE" USE c
<br />and Notice offlight to Appeal ZAAS�'Liusv�A,-
<br />ISK
<br />DATE, 1, M U, do A, SE
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<br />LOCATION ( PA RK/0PEN SPACF)�
<br />. .................... . ..... .......... . ..........
<br />Name:: Uiiisn First Middle DOH
<br />(-V
<br />. . . ................. .
<br />Res, Addres5i cilyState =7,,pR,jc,.;. llhcmWOfl
<br />e� Tk hoiri[e:
<br />---------- lz-
<br />finder the authority of Adirfinistrative Order No. 58-(13-24-F and Park, and Open Space Rule R-4,005(3).,you are lleretry:
<br />notified that you are prohibited from (check box):
<br />4 Entering in or using all CI ity' of Eugene parks, open spaces or Facilities.
<br />W
<br />Jbe basis f6r this Notice of Restriction of ase' is that oilyou viiahated Section I t` fl -tie Park,
<br />and Open, Space Rules, and/or Section of the EUgCTIV Code, 197 1, and/or 016 ro wit, yotr
<br />. ............... . ............... . . ................. 4k
<br />(Description of the violation.)
<br />This restriction of use is effective beginning on and shall remain in effect until
<br />-6.) . . ...... ....... [ ........... . .. . .
<br />ifyou enter in or use any City oif'Eugene park, Open space or facility during the effective period ofthis Notice, ymA rnay lac:
<br />arrested and charged with crinunal trespass in the second degree.
<br />Pursuant to Park and Open SpaceKule R-1.074 you are entitled to, an informal hearing to contest this No6ce. A 6or a:n
<br />int.'(H-Mal hearing must fry. read in writing and 'ffled with the Parks & (..)pen Space.Division Director ("flie Division Dire c[rrur")
<br />within 48 hours (exclusive of'weekends) ofreceipt of dds Notice at the following addrcss1820) Roosevieft, Blvd., Fugenrc., OR
<br />47402.
<br />The Division Director shall schedule a time and place for the infOnTial hearing to be condueted, which shall be nm rnore ffizlrl.
<br />72 hours (exclusive of'weekends), of receipt of"the request for hearing. At the intornial hicaring, thew Division Directorwffl rimy"
<br />consider testimony from you, ( .1 ity personnii'A involved iiri the incident that resulted in diis Nodive, and other wimessivs to the
<br />incident, The Division Director rnay exclude anyone, other than you and those presenting t,estimony, fion,w the informal hearing,
<br />This Notice shall remain in effect pending any requested hearing.
<br />This Notice off-'xiclusion was dehvered to the person natried at the top of this Notice at 'dateand firne shown above Iby:
<br />qv.t
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<br />(STIM rare ofpersuin ls.suing/dehvering notIii
<br />I hereby acknowledge receipt ofthe abovc., NcAice on the date and time, indicated above,
<br />(,Signah.ire cA lierson beinu,
<br />I,Vhgii,� i Pulbk� Work!,, Ii (.7oV.y, FLh_ Y � 111 c, w (.'opy � Repo ift i py Nylk Fop. Ro.ipenl Gold Cojjpy: C"ficer ApN, �A riirr.Aiuc,� 13, e v . IN i D �',
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