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NOTICE OF RESTRICS" rION OF USE <br />and Notice of Right to Appeal <br />DATL TIME� CASE <br />. . . . . ..................... ......... . ( . . . ........................ <br />LOCATION (PARKJOPEN <br />Name: Last Flr~t Middle DO r <br />ZCI <br />e Zip Res, Phone� <br />Res, Addres.,;: Wo k 11 <br />............ <br />Under the authority of Administrative Order No. 58-03-24-Fand Park and Open Space Rule R 1.005(3), you acre 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 />. . ...................... . ... . . .. . . . .. . . . ...... ................. . ........... ................. . .......................... ....... . <br />The basis for this Notice of Restriction of Use is that you vioWed Section Nark", <br />I 0 , 1() <br />arid Open Space Rules, and/oSe <br />r'ctio, 1 <br />" <br />n ofthe E ugerie Code, f971, and/or OR ......... . .. . To wit, YULE -------- <br />............ . ............................................................. . . ....................................................... . . . ....... . . . . ..... . . . ......... <br />��C( .................... ..... r . . . . . . . ......................... . ........... . ....... . ....................... <br />(Description of the violation.) <br />This, restriction of use is effective beginning on and shall remain in effect until <br />. ........... . ..... i ........... I - . -- <br />if you enter in or use any City of Eugene park, open space or facility during the effecfive period of this Notice, you inay 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 contcst this Notice. A. request f6ir ,jim <br />informal hearing must be rnade in writing and filed with the Parks & Open Space Division Director ("the Division Director„) <br />within 48 hutirs (exclusive of weekends) of receipt of this Notice at the following address: 1820 Roosevelt, BINd., Eugene, OR <br />97402. <br />'rhe Division Director shall schedule a time and place for they inforriial hearing to be conducted, which shall be not 111ore th,an <br />72 hours (exCIUSiVC of weekends) of'reccipt of the request for hearing. At the informal hearing the Division Director will only <br />consider testimony front you, City personnel involved in (fie incident that resulted in this Noiticii;, arid other wiwesSes [o the <br />incident. The Divi sion Director may exc [tide anyone, other than you and those presenti n g tesfirtion y, from the informal hearing. <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of Exclusion was delivered to the person named at the toil.,.) ofthis Notice at the date and time shown above by� <br />- ----------------- — -------- .. S . s . III <br />(Signature olf person 4trwl—�gwet,-77-;e —I, <br />g 11011cif <br />1. hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />171 <br />-Inuituric oepers6n being issued the noticie) <br />Whine Copy: Public Works Gan -n ir..'opy: He MIGIVCOPY� RePOM 4K)PY Ank Copy: Rec-ipienit GoH Sitiy Dffictrr Apj['w;it nAuc Rev i <br />