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3 �7 <br />NOTICE OFRESTRICTIONOF USE <br />and Notice of Right to Appeal <br />DATL TIME: CASE ff" . ........ I <br />_.q... .. ................. . . <br />LOCATION (PARK./OPENSPACE)�� I�Lo�e <br />o&k �S-..' . . . . . . ............................. <br />Nanie: Lw,'l Fint Middle I)OR- Racc/sex <br />AA40d (2 <br />Res. Address: City Nate Zip lkes, Phone: W'Drk Nione� <br />aL aj <br />1j" nder the authority of Administrative Order Nit. 58-03-24-F aurid Park and Open Space Ru le R- 1.0105(3), <br />you are hereby <br />notified that you are prohibited from (check box)- <br />�y Entering, in or using all City of Eugene parks, open spaces or facilities. <br />0 ---1 ............... . . . .................. . . . .... .. . .. .. ....... . ...................................... .. .. ....... . ........... - 11.1 . . ............. . . . . . --l-1-2, <br />'rhe basis for this Notice of'Restricfit.)n of Use is that ern.._'( 10-15— -- you violated Section �of die Park <br />and Open Space R ul es, arid/or Section qt, 10 �(O of the Eu gene Code, 197 1., and/or OR S . To wit, you <br />. .. .......... -------- <br />f Description o f the vio lation.) <br />This restriction ofuse is effective beginning on .moand shall remain in effect until .......... <br />If you enter in or use any City of Eugene park, open space or facility during the effective period of this Notice, you rnay be <br />arrested and charged with criminal trespass in the second degree. <br />Pursuant tri Parte arid Open Space.wale .R.4.074 you are entitled to an informal hearing to confest this M.'Mce, A request for an <br />inforrnal hearing must be made in writing and filed with the Parks & Open Space Division. Director (""the Division Diriector"') <br />within 49 hours (exclusive of weekends) of receipt ofthis Notice at the following address1820 Roosevelt, Blvd., Eugene., OR <br />97402. <br />The Division Director shall schedule a tinie arid place fbr the Informal hearing to be condumied, which shall be ncpt rm.we, than <br />T-) hours (exclusive of4eekends) of receipt of the request for hearing. At the informal hearing the 11.)ivision Director will only <br />consider testitnony frum you, (.'. ity, personnel involvcd in the incident that resulted in this Notice, and other witncsse,,� to aIle <br />incident. The Division Director may exclude anyone, other than you and those presenting wsfirrtony, fi-om the infim-nal hicaring, <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 Soba rut the date and lime shown �,ib<')ve by: <br />49r. . . . ..................................... <br />(Signaruin1person issulng/dclivering nolice) <br />I hereby acknowledge receipt c.)f the above N(,.)tice on the date and firne indicated abovic. <br />4j� <br />Ignater Csfpeison being issued the notice) <br />Whille a pyPuiblic Wmk,, Grec.m Crqvy! FRIt, Yeflux Copy: Kcpvrl CrNPly Pink GrapyRecipiew UrAd fr'�upy: Dffiv,r Arlrw,::,] noir,:e Re,,, OPWO-4 <br />