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NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATE u <br />. . . ......... . . ....... . . .................... .. ------- - - - T I M LA CA S E 4: ( j ---------------------- <br />. . . .......... ......... . <br />LOCATION (PARK/OPEN f <br />J <br />Under the authority (of. Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005(3), you are hierehy <br />notified that you are prohibited from (check box,): <br />Entering in or using all city or Eugene parks, open spaces or facilities. <br />0 . . . . . . ......... I .......................................................................................................................................... . .......... . . . ............................................................... ............. . . . <br />The basis fbr thi,s Notice of Restriction of Use is that on -1 you violated Section ......................................................... -- of thic ParIc <br />and Open Space Rules, and/or Section Of the Eugene Code, 197 1, andJor ORS,_, 'ro wit, <br />..................................................................................... . ......... ...... <br />.................... .. <br />(Description of the violation") <br />zl- <br />This restriction of use is effective beginning on (CA and shall remain in effect until <br />. ........... I . .... ... ( <br />If you enter in or use any City of Eugene park, open space or facility during the effective period of this Notice, you rimy be <br />arrested and charged with criniinal 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 Niotice. A re,cpicst fbr an <br />informal hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Dire�ielior") <br />within 48 hours (exclusive of'weckcnds) ofreceipt of this Notice at the following address: 1.820 Roosevelt, Blvd- Eugene, OR <br />97402. <br />'The Division Director shall schedule a time and place for the informal hearing to be cowuJuctird, wh k.,,h shall be not more than <br />'72 hours (exclusive of'weekends) of receipt of the request for hearing. At the informal hearing the Division Director will only <br />consider testimony ftorn you, City personnel involved in the incident that resulted in this Notice., and other witnesses to <br />incident. The Division Director may exclude anyone, other than you and those presenting . fbi-nial heaj.-ing. <br />,,, tesib-nony, friorn the in <br />This Notice shall remain in effect pending any requested hearing. <br />This No4ice of if was delivered to the person narned at the top of this Notice at the date and firne dIOWTI A10VICtroy: <br />. . . .. ........... .. . . .. ........................................................... .. . . . . . ... .. .. ................. <br />(Signatur,�eol"p�er-s�o�nis�.,,�L�l�ni.edETrV" Fi—g"Fi R �E� �,-) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated abolve. <br />. . ......... ... . . ................... . . ...... . . . . . . ....... ........ . ................. . . . . . ............. . <br />(Sigiaahn-e of'person being issued the n6ticiv) <br />Whac ( vjpy; Public Works Glren Copy: p ile YeHoix Copy : Reporl C'up), P11A, CopyRc-.c'ipicnt (JcPk:1 Copy Officer App dl nwgcc Rev.04AA, <br />