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NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />T . ........ .. (..'ASE#� Q 1010 <br />DATF� IME� <br />. . . . . . .................... . ..... <br />LOCATION (PARKAVEN SPACE): <br />45 <br />0 -� <br />FR!s,'f, Ine a� <br />U nder the authority o f Administrative Order No. 58-03-24-F am Park and Open Space Rule R 4.005(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 />El <br />The basis f'or this Nur tice of'Restriction of Use is that on riyou violateti Section ofthe Park <br />. ................ . . . . <br />and Open Space Rules, an&or Section ql-oaa of the Fuge ne Code, 19 7 1, and/or ORS .... . ..... . ...... . T'o wit, y�)W: . . ......... .. ............... . <br />'7- <br />kjF 0V <br />S -L-r,-LkL�5� 3-(-)-- �t <br />(Description of the violation.,) <br />This restriction of use is effective beginning on and shall remain in effect <br />until <br />If you enter in or use any- 'ity of F ugene park, on pespace or facility during the effective period of this Notice, you rn-ay be, <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 informal hearing; to, contest this Notice, A request for an <br />infbnnal hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Dirieetx.,W') <br />within 48 hours (exclusive of weekends) of'receipt of this Notice at the following addressA820 Rooseveh, Blvd., Eugene, OR <br />97402. <br />The Division Director shall schedule a time anti place for the informal hearing to be conducted, which shall be not more than <br />72 hours (exclusive of weekends) of receipt ofthe request fior hearing, M the informal hearing the Division Director wi I I (way <br />consider testimony frorn you, City personnel involved in the incident that resulted in this Notice, and other witnesses to fl'w <br />incident. The Division Director may exclude anyone, other than you and those presenting testimony, ftorn the iiifonnal hcIMIJ41.Y.", <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 ofthis Noti-2at the date and time shown above by: <br />ofperson issu.ing/delivering, notice) <br />I hereby ackuowledgell receipt of the above Notice on the date and ffine indic;,,aed above. <br />(Signattire/6f person being ismied the nofica ) <br />White Corw Public WoTk', Grwn(bpy� File- Yellow Copy! Re-porL Copy Pink CupyRQ6pieTlh Gdd (:'opy: (Jfficer AppeM arifice Ruv[W `W <br />