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NOTICE OF RESTRICTION OFUSE <br />DA'I'L k 1.5,101", and Notice of it to Appeal I -A6 <br />T1W A3A CAS I ff: <br />I.,OCA'I'ION(PARK./C)f'EPA:cE):_, _A4Lr-, b <br />—1 ... ....w........ . . ...-k I . ......... . . . . ...... . ......... . . . . . . ............................ . . ....................... .. . . . . <br />...................... <br />rqallie; Last First Middle DO B Race/S X: <br />k C, <br />Ro;. Address, City State Zip Res, Phone. Work Ph(pne: <br />Under the authority ofiLdministratine Order No. 58-03-24-Facrd Park and Open Space:Rule R-1.005(3), you are hereby <br />notified (hat you are prohihited frorn (check box): <br />a_ Entering in or using all City of Eugene parks, open spaces or facilities. <br />X <br />Yhe basis for this Notice o!"Restriction o�f Use is that on you viol ated Section'l .,10 106, 0 ofthe Nut <br />and Open Spacc Rules, and/or &,Ttion4 1 q....0 ------ o F the Eugene Code, 1.971„ and/or ORS To <br />. . . .. ........... .... <br />--JM 0'� F—X51V�o <br />................ . .... ............... 0 . . .................... ............. . . . . ....... . .................................... . ......................... <br />(Description of the violation.) <br />'['his restriction of use is effective beginning on and shall remain in effect until -7 <br />, _0 6k JX <br />Ifyou enter in or use any City ol"Eugene park, open space or facility during the effective period ofthis Notice, y(,.)u ina), be <br />arrested and charged with criminal trespass in the second degree. <br />Punatant to Park and Open Space Rule P,--1.074 you are emitled to an informal hearingtan contest this Notice. Arequestforan <br />ink)rrnaf bearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Directr,-)r"") <br />within 48 hours (exclusive of'weekends) of'receipt of this Notice at the following address:! 1820 Roosevelt., Blvd., Err ,"erre„ OR <br />97401 <br />The Division Director shall schedule as time and place for the informal hearing to ble conducted., which shall The not more than <br />72 hours (exclusive �of weekcnds) of receipt ofthe request fbr hearing. At the intbrinal hearing the Division Director� °will ofliy <br />Consider testimony firorn you, City personnel involved in the incident that resulted in this Notice, and other witnesscs lin d'ue <br />inci den t, The Di v ision Director may exclude anyone, other than you and thosepresenting testi morty, from the infbniial 1tca r irli �41 <br />This Notice shall rernain in effect pending tiny requested hearing. <br />This Notice of Exclusion wus delivered to the person naryied at the iop of this Notice at , ate and finie shown abovc by: <br />............ <br />(Sigu aiture of perscm issulngjdehvering nii,)fice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated albove, <br />,(Signature of'PerS0nh6lr�,2, isstreld tl-w, nowilcicr) <br />)Vhi[e Unpy' Pubho Works (Vrverl L:cyy' FRIC Yelho"m (­OpyReport wary Plink Cbj)R'eclipmrqA GoIld Culpy: iawtfr"or "kpre.d noH',;c' R"",' 04rV, <br />