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NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATE:: <br />TJ M E: CASE, <br />. . . ........... ............................. . . .................................... -------------------------- - <br />LOCATtON (PARKJOPEN SPACE)- <br />. . ....... . . . . . . . . . . . . . . . . . . . .... .................................................................. . . .. .. .. ...................... <br />Name: 1La%1 , First MA4 Mffl� Rac <br />r ( <br />Res. Address: city State Zip <br />ne. -lip Res. Pho¢ Work Vhoniu; <br />Under the authority ofAdministrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005(3), you are hervb� <br />notified that you are prohibited from (check box): <br />0 Entering in or using all City of Eugene parks, (open spaces (or facilities. <br />0 . . . . .... . .. . . .... . . . ................. . . . ....................................................................................................................................... .. .. .. .. . . . . . ......... . ............. ........................ <br />The bas is fior. this Notice of'Res I-ric tion of iJse, i s tha t on Section. <br />. . . ......... YOU Violatul (I �oif thic Park, <br />,and Open Space Rules, and/or Section.----- of the Eugene Code, 1971, and/or ORS — -------------------- � To wit, you <br />CAP <br />(Description ofthe violation..) <br />This restriction of use is effective beginning on 06 Iry and shall reni in effect unfil <br />..... ........ . . I . ..... <br />.If you enter in or use any City of'Eugene park, open space or facility during the effective period of this Notice, you may be <br />arrested and charged with crirninal trespass in the second degree. <br />Pursuant to Park and Open Space Rule R.4.074 you are entitled to an informal hearink <br />g to, contest this Notice. A request for an <br />informal hearing must be made in writing and filed with the Parks & Open Space Divisior. ffirector ("the Division Dircwctor-) <br />within 48 hours (exclusive ofweekends) of'receipt of this Notice at the f6llowingaddress1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Director shall schedule a ffine and place for the inflormal hearing u) be conducted, which shall be riot rnore than <br />72 hours (exclusive of weekends) of receipt of the request for hearing. At the informal hearirig the DivisicTia Director will only <br />consider testimony (i`orn you, City personnel involved in the incident that resulted in this, Notice,., and other witri tic) the <br />incident, The Division Director may exclude anyone, other than you and tbose presenting tesfirnony, 6-orn the infinmal her,..jring, <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of E'xiclusion was delivered to the person named at the top of this Notice at the date and 1]rncsWwn abiove by�: <br />—1 . . ........ <br />(Signaftire ofperson issuing,/deliveiring notiicic) <br />I hereby, acknowledge receipt of the above Notice on the date and time indicated above, <br />(Signature of'person being isisued the notilee) <br />Wlukc Copy PubNe Works Green CopyNe Yellow Copy Repwl Copy Pink Copy� Rvcupienit (JoW C'upy: Officer Appeal nuUor-, i 0,L103 <br />. ............................ . .......... . . ........ . ...... . ..................... ...... . . <br />