F RESTRICTION FBF' ", 69°11 <br />and Notice of Right to Appeal <br />LO(' -'AT -ION (PARK/OPEN SPACE)(,at 4:: ..... 7(. "'...:. � <br />........ ........ ......... <br />NameLast First Middle DG,Bl Race/Sex: <br />d ¢5A km Ar {`1 l t'-1 V �.Lc Gt..o P 0 ; /gym, <br />Rcs. Address: City State Ziie Res, PhaureWork phone: <br />ib �. ( ,l <br />Under the authority ofAdministrative Order No. 5 -03-.24-F and Park and Open Space Rule -1.005(3),your are hereby <br />notified that you are prohibited from (check box) - <br />[X Entering <br />is x) - <br />Entering in or using all City of Eugene parks, ripen spares or facilities. <br />w <br />The basis for this Notice of' Riestrietia n of U se is that on ... " l � you violated 'Secti.e:vn JJl.�z 1101 ofthe Parlra.. <br />and Open Space Rules, and/or Section of°the Eugene Code, 1971, rand/or ORS 1`0 wit, yotl ....._.._......... <br />(Desc,ri.ption of the violation.) <br />This restriction of use is effective beginning on - G t , and shall remain in effect until ' l! <br />If you enter in or use any City of Eugene park, open space or facility during the effective period of this Niotice.., you raray be <br />arrested and charged with criminal trespass in the second degree.. <br />Pursuant to Park and Open ' pauee .Ruale l2. -l,.074 you are entitled to an informal hearing to contest this Notice,. A request, for an <br />iTdbr¢naai hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division. fliire.rmtr,,-)r "') <br />avia:l'ain 48 hewers (exclusive of weekends) of'reeeipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />402. <br />The Division 'Director shall schedule, a time and place for the inferrayjal hearing to he conducted, which shall he not: r -core tfa,an <br />72 hours (exclusive of weekends) of receipt of°the request for hearing. At the informal hearing the Division D[ rector will only <br />consider testimony f:ro n you, City personnel involved in the incident than resulted in this Notice, and other witnesses to the <br />incident, The Division Director may exclude anyone, other than you and urease presenting ta;st:irnOny, fi-uarra thIC informal hearing;, <br />'chis Notice shall remain in effect pending any requested hearing. <br />This Notice of Exclusion was delivered to the person named at the tarp of this Notic, d "-Thr,, an, -71 Irini show a xbovc by: <br />igir.ataara cepe,rsuaru rsuair lc u <br />- - ...... __ `. <br />rye�tac,e <br />l hereby acknowledge receipt of the, above Notice on than dateand time indicated above. <br />d i,gnna urre, of perason hle'ing issued the nofac ep <br />Whi9le Cr,spw. apTiiit 7i, MPti pri Ls U'nm un Cti.q qr. F'iae `a r 9lcpw e::'op . Reipon e"tarn; Pink e"iiir Rtciapieppr. R` lAd 4 UJ'aY Offs +&o tna[, P n o:c arc ilJrr:p"t3 <br />