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NOTICE OF RESTRICTION OF USE <br />and Notice of flight to Appeal <br />DA-rE: 06 <br />LO('AT'JON(l"ARK.'(')PENSly ,k(.L.",E,)Pio <br />............. . . . ... . ............................. — ---------- . . .. ............................................................. .. .. . . . . . . <br />Naine: L,am First Middle DOB� Race/Sicx,: <br />(,j f+ LD W $A-1 ()G'Aiv kj Y'l I'S67 <br />Res. Address: C'4y Slate Zip Res, Phnm: for Phone: <br />Under the authority ofAduninistrative Order No. 58-03-24-F'and Park and Open Space Rule R-1.005(3), you are IherebY <br />notified that you are prohibited frorn (check box), <br />X Entering in or using all City of Eugene parks, open spaces or facilities. <br />El................ .1 . . . ............. 11 ...................................... . .......................................... . . . ............... . . . . ................................ . . .... _­....­ . . . . .................. . . ..................... <br />'Ibe basis for this Notice of'Restriction of LJsc is that on Q & 1,�I 5 , you violated Sec H on. do of the llark� <br />r r r . . . . ...................................... . . . . . . <br />and Open Space Rules, awid/or Section I- _jp1971,I 'T'o mrit, yau� <br />_L,10 '� , of the Eu g(m e (."ode, an d/or 0 R S . . . . ............. <br />1&'�L_cot�s �ALCOACL 149-4( . . .............IN6�A�intvk.JEL 110 <br />. ...... .............................................................. ... . .............................................................................. <br />(Description ofthe vioWion,) <br />This restriction of use is effective beginning on and shall remain in effect until b'70 -1t5" <br />............ <br />If ylm enter iii or use any City oif Eugene park, open space or facility during the effLctive period of this Notice, you. may be <br />arrested and charged with crirniTufl trespass in the second degree. <br />Pursuant to Park, and Open Space Rule R.4.074 you are entitled to an infOnTlUl hearing ka contest this Notice. A requit-s't fDr rain <br />ir&rmal hearing must be made in writing and filed with the Parks & Open Space Diviision Director ("the Division Director") <br />w i thin 48 hours (e xc I usive c)fwee kend s) of receipt of thi s Notice at the Following address:: 120 Roosevelt, Blvd., Eu gene, 0R <br />97402. <br />The Division Director shall schedule a tunic: and place fior the informal hearing to be cf.�)nducted, which shall be not moire, than <br />72 hours (excl usi ve o f wi x�kund s ' ) of receipt of the request for hearing. At the informal hearing; thaw Division Director Weill only <br />consider lestimany firoln YOU, (_ "ity personnel involved in the 'Incident that resulted in this Notice, arid other witnesses k) the, <br />inc ident. The Di vision Din',r-ctor may exclude anyone., other than you and those presenting testimony, frorn the in Fortnal hearing, <br />This Notice shall remain in effect pending any requested hearing. <br />This N otice of Exe I usion was Lie] i vered to the person named at the top o f th i.,i N on cc at the d ate and t i me sho wri a bovie- by; <br />.............. ............................................................................................. . . . ................. . ................................ . . . . . . ................................ . . . . . . . . . . . . . . <br />(Signature of person issuing/deliviering notice) <br />I hereby acknowledge receipt oftht above Notice on the date and tirne indicated above. <br />(Signaturc of person being issuie.d the notice) <br />whike ("up"y! Public Wvrk!' Grrun Copy: Firs' Vefloroy Cr''Py: Report C'opy Pink Copyka!ipiv.ni C"old Copy: ApjpeaP 1'1161nRI. 04T) <br />