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q NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATL '11ML CASE <br />LOCATION (PAR.:./OPEN SPACE): <br />[Jittler the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R- 1.005(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 />'(9 <br />The basis for this Notice of Restriction of Use is that onhe Park <br />, <br />you violated � �ecfion _,�k t <br />and Open Space les, and/or Section .......... ........... <br />Of tile Eugene Code, 197 1, and/or �RS To Ivit, you:: <br />(Description of the v iolition. l <br />1 <br />This restriction of use is effective beginning on anti shall remain in effect until (973.&Z <br />If you enter in or use any City of Eugene park, open space or 1aCility 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 eonted this Notice, Areqil.testforin <br />informal hearing must be made iri writing, and filed with the Parks & Open Space Division Director ("the Divisicm Dire etor") <br />within 48 hours (exclusive of'weekerids) of'reccipt 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 infonnal, hearing to be conducted, which shall be not more dian <br />72 hours (exclusive of"weekends) of receipt ofthe request for hearing..At the informal hearing the Division Director will only <br />consider testimony from you, City personnel involved in the incident that resulted in this Notice., and other witnesses to the <br />incident. The Division Director may exclude anyone, other than You and those presenting testimony, ftorn the informal he�aring, <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 of this Notice at the date and time shown above by- <br />. . ........ ...... <br />................. . . .. .. . . . ................. . . . .. . ................. . . . ........................... . . .. . . . . . . . . .... .. . ... ... ... ... . . . . ..... . <br />(Signature of'person issuing /defivering noficc) <br />I hereby acknowledge receipt of the above Notice on die date o <br />W I d I P Copy^ Pu b V ic Works GreenC'c.viy File Yellow Uvppy! Rqx'm COPY Pmk Copy: Rcopiuni Grfld Copy�, (Mlo.,,r App 4i l! irraeicu Km O.V103 <br />