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NOTICE OF RESTRICTION OF USE <br />and Notice (if Right toAppeal <br />DATE: 'rjME� 7-1 CASE <br />2 .................. 3-(o . . . ..... . . . .... . .......... ...... . ..... .. ...I/ zi; <br />L0 <br />LOCATION (PARKA..)PEN SRACE)� <br />..... . ...... .. ........ . . . ............. . . . <br />Narne: Last list Middl DOB, 7Ra7ce/S, <br />VV 7e/�i <br />Res. Addresscity state Zip Res, 1111olle: Work Phone: <br />Under the authority of Administrative Order No. 58-03-24-Fand Park and Open Space Rule R. -I.005(3), you are hereby <br />notified that you are prohibited from (check box): <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />The basis for this Notice of Restriction of Use is that on ----g you violated Section I I.-- ( Of the Piadls, <br />and Open Space Rules, and/or Section of the Eugene Code, 1971, arid/or ORS <br />7— :r" AA) <br />1-4" <br />M <br />'i" t:.) wit, <br />1-4, jr <br />(Description of the violatio_1 <br />n.) <br />This restriction of use is effective beginning on ands all remain in effect until !)2--11 —2- <br />11'you enter in or use any City of Eugene park, open space or facility during the effective period of this Notice., you niay i:,de <br />arrested and charged with criminal trespass in the second degree. <br />Pursuant to Park and Open Space Rule, R -1.074 you are entitled to an inf6rr.na I hearing to con test this Notice, Arelcluestib!ran <br />informal he3ring must be made in writing and filed with the Parks & Open Space Division Director ("the Division Diriciclor") <br />within 48 hours (exclusive of'weekends) of receipt ofthis Notice at the following address: 1820 Roosevelt, Blvd., Eugene., OR <br />97402. <br />The Division Director shall schedule a time and place for the inf, "orinal hearing to be conducted, which shall be not ini.ne Iluan <br />72 hours (exclusive of weekends) of receipt ofthe request for hearing. At the informal hearing the Division Director wdl only <br />consider testimony fyoM you, Cityr personnel involved in the incident that resulted in this Notice, arid other, witnesses to the <br />incident. The Division Director iruiy OXClUde anyone., other than you and those presenting testimony, from the infomial hearing. <br />This Notice shall remain in effect pending any requested hearing. <br />No Vftc c �s"aau I �c by <br />This Notice of'Exclu sion eras delivered to the person narned at the top o f th i s N ofice th -date and I ''ne <br />. . . ............................ . . . . ... <br />ie <br />V <br />'A ur <br />, o <br />(S g suture �.i I'p 1�0 n issuing/de f ed notic <br />I hereby acknowledge reeeipt of the above Notice on the date and time indicated above. <br />(Signature orpill being issuleid �he riotiiux,;�) <br />Whillu Coyp�; Publiv. Work� Gucxn ('opy: Flilk: Y 1-1 lqru w a.rarpYIEaq,7arTA C, opy Pink C'opy: Recipllentl GM J Cq yy : 0 ffilcer A p: pea u R Rolt ice Rtw OV03 <br />