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NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal �AASTIII-�O <br />DATE. TINIF: _q 'Ir - <br />------- .... .. . ...... <br />'2 1 1 . . . . . . ............................................ .. .. . . . . . . . . . . . <br />LOCATION (PAIMCWEN SPA(,.,,,E):_ W <br />W . . ............... ... <br />Nartm: Laqt First Middle DOB� Race/scx:: <br />61 "(e . ............... . . ...... <br />--7--TSIM76 <br />Res, Address:: C ity I1, Zip Reg, Phnne� Work Plione� <br />cl� <br />Under the authority of Ad ministrative Order n® 58-03-24-F an Park and Open Space Rule R- 1.005�3), yo u a re hereby <br />notified that you are prohibited from (check box). <br />Entering in or using all City of Eugene parks, open spaces or facififie—s. <br />X <br />The basis for this Notice of Restriction of Use is that on you viOatcd Section Ifpto(io Of ti'le Part, <br />and Open Space Rules, arid/or Section Mthe Eugcne Code, 197 1, and/or ORS ro wit, y�,.)u i <br />--- ... ....... . . L---- <br />_zLi -;rllLc <br />(Description of the violation.) <br />Tbis restriction of use is effective beginning on and shall remain in effect until 10 <br />qtvo— �IL <br />I fyou enter in or ruse: a ny City of Eugene park, open space or facility during the effective period (r,)f this N ofice, you may, Ibe <br />arrested and charged with criniinal trespass in the second degree. <br />ftrsu�ant to Park and Open Space Rule R. -I.074 you are entitled to an informal hearing to contest this Notice. A rtquem. k.)r an <br />informal hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Direckir"), <br />within 48 hours (exclusive of weekends) of receipt of this Notice at the following address: 1820 Roosevelt, Btvd., Eugene, OR <br />97402. <br />The Division Director.- shali schedule a time and place for the informal hearing to be conducted, which shall be not rnorc than <br />72 hours (exclusive of weekends') olf receipt of the request for hearing, At the Informal hearing the Division Mrector will only <br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the <br />incident. The Divi,,ion Director may CXCIUde anyone, other than you and those presenting tiestirnony, froin the infoi-mal he,w.ing. <br />This Notice shall remain in effect pending any requested hearing. <br />'Phis Notice of Exclusion was delivered to the person named at, the top of this Notice at the date and tirne shown above by - <br />___K - <br />fA <br />. , dl......... . <br />(Signature of person notice) <br />1 <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />0 ............... . . .......... . . . <br />n e, son being issutA the� notice <br />(Sip fpe r, <br />9d h i Ie L'o py: Pu b I i L: Works Green (2c)py Fdc Y dl D"V C' 0 PY � IIc^Puw � C upy P 4ik Co py: Rco i p icnt Chid (ojjpy: Officer Appr.-all nail lir.r- V; i. IyPW <br />