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ro" <br />NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />01 TIME: A, S I <br />DA"I'E <br />LOCATION (PARKJOPEN SPACE')� .. . .......... . . . . . .................... . <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.0015(3), you ary herieby <br />notified that you are prohibited from (check box): <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />1*1 <br />The basis for this Notice of Restriction of Use is that on you violated Sectiori. 'A",6. of the; Park <br />and Open Space Rules, and/or Section Y <br />�'L of the Eugene Code, 1971, and/or ORS --- ---- To ., ou.— <br />A/ e7v"'J'e" 141 (Yftj,/ d eyz;> JZ <br />(Description ofthe violation.) nt <br />This restriction of use is effective beginning on and shall remain in effect until <br />If you enter in or use any (I I ity ol'Fugene park, open space or facility during the effective period of this Notice, you may 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 atis Notice . request for 4,11 <br />informal hearing must be made in writing and filed with the Parks & Open Space, Division. Dirk.%tor ("the Division, Director") <br />within 48 hou.rs (exiclusive of weekends) of receipt ofthis Notice at the following address 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Director shall schedule as tirne and place for the ird'orrnal hearing to be conducted., which shall be not more than <br />72 hours (exclU.SiVe, ofweekendsp olrc,,ceipt of the irequest for hearing. At the, informal hearing the Division Directoir will oid.y <br />consider teminriony from you, City personnel involved in the incident that resulted in this No,tice, and other witnesses to the <br />incident, The Division Director rnay exclude anyone, other than youand those presenting testiniony., ftom the inton-nal <br />This Notice shall remain in effect pending any requested hearing. <br />This. Notice of Exclusion was delivered it-) the penson narried at the top of this NoticAatfthy&,Ae and tirne shown above- l.:)y: <br />(SiFfaturc ofperson issung/de hvcring nolicc) <br />I hereby acknowWgc receipt ofthe above Notice on the (late arid time indicated above. <br />(Signature a f pa'.-,rsun bicing issn.,ied the <br />Wh Ltr Co py , P u b] 6c W o rkrr, G rn� RR Copy, rear le- Yfllcov Cvpy� Rcpori Copy Pink CopyRrvmpivnt (Jold C'opy�Officer A�'peal nene <br />