c <br />NOTICE OFRESTRICTION OF USE b\As 15-� 5 � UP <br />and Notice of Right to Appeal <br />. .. ............. . . . .. ........ ... . . ............ — --.- . ..... . . . . .............. . .. <br />Ac( - - — - - ---------------- . . . .. ..................... . . . — ---- <br />LOCATION (PARK10PEN SPACE)��__ <br />Nairnc: Last First M iddle DM R <br />7-1 <br />C Z�p <br />Re& Addmss� UY State Rt,,tL Ply W-VA4�e: -p 1) k I I I C: <br />K� )rl-s, — <br />Tinder the authority of: dministrative order No. 58-03-24-FHund P'ark and Open Space Ru le R-1.005(3), yo u are hereby <br />notified that you are prohibited from (check box): <br />Entering in or using all City of Engene parks, open spaces or facilities. <br />El <br />The basis f6r this Notice of'R.cstriction of t,..,Jse is timt on you violated Se(:;fion ofthe Park <br />and Open Space R.ules, ind/or Section NE.L.- Of the Eugene Code, 1971, and/or ORS . . . . . .............. . ..... . Fo wit, yow_.--- <br />-f; <br />N <br />(Description of the violation.) <br />'l'" is restriction of use is effective beginning on and shall remain in effect on i <br />. . . . ....... <br />Ifyou enter in or um--- any City cuf Eugene park, open space our facility during the effective period of this Notice, you may be <br />arrested and charged with criminal trespass in the second degree, <br />Pursuant to Park and ()pen Space Rule R-1,074 you are entitled to an intr0fl7nal hearing to k,ontest this Nc,.)tice, A req uir,,.tit f6ir an <br />informal hearing inu.qt be made in writing and filet.] with the Parks & Open Space Division Director ("the Division Direck.n"'), <br />within 49 hours (exclusive of weekends) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Dircctor,,diall schedule a tinie and place for the in,formal hearing tca be conducted, which shall he not more than <br />72 110111S (CXC1L1SiW of weekends) of receipt of the request for hearing. A,t the informal hearing the Division Director will oFdy <br />consider testimony from you, City personnel involved in the incident that resulted in this NOioe, and if,)ther witnesses to the <br />incident, The Division Director may, exclude anyone, other than you and those presenting telstirrionyrrom the infinTnal hearing, <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of Exclusion was delivered to the person named at the top of this Notice at the dale and tinie shown �abioc li. y: <br />. . . . . . . . . .................................. . ..... . <br />iss 1, <br />I hereby acknowledge receipt of the above Notice on the date and time indicated abo x. <br />............... 1151�746 ......... <br />(Signature of per, being isrsucd, the, noniciel) <br />Whirr; Copy Pubbc Works Gruen CopyVk YJ01A'Cup y: Repoi-I Copy Nnk Copy, Recipient GAI Copy,- CO-kccr Appeal kko6i:e <br />11V. . . . . . . ............ ...... <br />�l <br />