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NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />y CASE ft. <br />DATE . . ........... ........................... ........... . . .. . . .. ........ TIME: <br />.......... . . . ...... — --------- - <br />WC ATICIN (PARK/0PEN SPACE) (4) kf Pro?, <br />.......... <br />�Iafe <br />M <br />Work Phtnw: <br />Under the autbo ri ty o f Administra ti ve Order N o. 58-03-24-Fand Pa rk and Open Space Rule R- 1.005(3), y ou rare here by <br />notified that you are prohibited from (check box): <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />The basis to Oark <br />r this Notice of Restriction ofUse is that on you violated Section./4 <br />and Open Space Ru es, and/or Section - -o Vofthe Eugene Code, 197 1, and/or OR CYWIL, YMU . ....................... . <br />. . .............. . .. . . ......... ..... <br />. ........ . .. <br />T <br />. ....... . ............. <br />This restriction of use 'Is ef fective beginning on &I —X) -5 --and shall remain in effect until 492Vr5"`- " <br />if you enter in or use any City of Eugene park, open space or facility during the effectivk.rperfod ofthis Notice, you nu.,Iy he <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 this Notice. A requiest far :an <br />informal hearing must be made in writing and filed with the Parks & OperiSpace Division Directii.)r ("theDivision. Dirc!ctt.)r") <br />within 48 hours (exclusive of weekends) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Director shall schedule a time and place for the I-riformal hearing tot i be conducted, which shall be riot 11han <br />72 hours (exclusive (,.if weekukdsr) of receipt ofthe request (lor heariTigr At the infiornial hm,rrhi[g the DiNriSion Director will only <br />consider testimony frorn you, City personnel involvoJ in the incident that. resulted in ilius Notice, and anther witnesses tic.) the <br />incident. The Division. Director may exclude anyone, other tlian youand those presenting Lestiniony, froni the nnflbirnlal hearh.q,,!,. <br />This Notice shall remain in effect pending any requested hearing. <br />'rhis Notice ofExclusion )vas delivered to the person marred at the top of this at , � A.atc ar 6-ne shown. abc"e bv, <br />(Sikqi,aftire of person issuing/deliverhig notic-e'i <br />I hereby acknoydiedge receipt of theiabove Notice on the datcand time indicated above, <br />... .... . ....... . . ..... ............................ . <br />L. . ............... . . ................... . . <br />'r, re sat "picrsonheir g smied the nottc,, <br />While Cop"'! public Works (;ri�en Cojry: File Yv[km Giippy: Reporl Cqry Pink Giqry: Recipipm[ Gu ld iUcipy, (Allirc-1, Appr,M rujille" Ipj"."V, 04401 <br />