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ei l <br />11 '.J <br />NOTICE OF RESTRICTION OU'USE <br />and Notice of Right to Appeal <br />DATE: TIME: CASE fi�: <br />LOCATION (PARK/OPEN SPACE):: <br />..... .. ..................................................... . ........................ . . . .......................................................... ... ... .. .. .................. <br />Under the authority of Administrative Order No. 58-03-24 Fand Park and Open Space Rule R-1.005(3), you are hereby <br />notified that you are prohibited from (check box)-. <br />VEntering in or using all City of Eugene parks, open spaces or facilities. <br />I <br />Tat on P a r I c <br />The basis Girt this Notice of Restriction of sis th Ue ---- --------- you violated Section 0) 011',� <br />.......... ...................... ... <br />and Open Space Rulesand/or Suo ion - --- - -------- -- ofthe Eugene Code, 1971, an&or OR,, — - ------ - -------------- To Wit" YoLc- -------- - <br />WMWJTA�� <br />(Description of the violation.) avcf- <br />1 '41 1 ) ""11- <br />This restriction of use is effective beginning on - �/7 !° , and shall remain in effect until j ;J��h <br />If you enter in or use any City of Eugene park, open space or facility (luring the effective period of this Notice, you EII Ible <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 infort-nal hearing to contest this Notice. A reqiucsit ffir an <br />inforinal hearing inust be made in writing and filed with the Parks & Open Space Division Director ("'the Division Director"), <br />within 49 hours (exclusive of weekends) ofreceipt of tHs Notice at the following address� 1820 Roosevelt, Blvd., Eugene, OR. <br />97402. <br />The Division Director shall schedule a time and place for the inf6rmal hearing to be conducted, which shall he not rnore tlmn <br />72 hours (exclusive of weekends) of receipt of the request for hearing. At the informal. hearing the Division. Directow- will only <br />consider testinion.y firom. you., City personnel involvecl in the incident that resulted in this Notice, and other witnesses tothe, <br />incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the inf6rrnal hearing. <br />This Notice shall remain in effect pending any requested hearing, <br />This Notice of Exclusion w,,,I delivered to the person named at the top of this Notice at t ante and time shown lay:`0 <br />—"" -- --1 -\ 1- 0� <br />(Signature ofperson issuinIg/defivering nofi1c,,e,) <br />-1 <br />I hereby acknowledge reccipt ofthe above Notice on the date and time indicated above. <br />(Signature of pen.;on1,�)cing issued the nc)ficO <br />wlwe COpyPubhe Worl:s Green CopyHe YeBow CopyRepon. Copy T"Ink C01II RDUtP1VW1 Ckddl I rY y� I ffil c er A ppc J n ru aI Cc Rev- W, I�� <br />