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q NOTICE OF RESTRICTION OF UISE,
<br />and Notice of Right to Appeal
<br />DATE:: TIME: CA,Sf�
<br />. . . . ..................... . . . . .......... . . . -.- ....11- 13 - . . .... .
<br />LOCA110N (PARK/OPEN SPACE):
<br />�VMM
<br />Under the authority ofAdministrative 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 />)d— Entering in or using all City of Eugene Parks, open spaces or facilities.
<br />0 1 . ...... . . . ... ......... . . ..... . ...... I ............................. . ..... . . . ........................... . ..... —1 . . .................... ....w ................ . ...................
<br />The basis for this Notice of Restriction of LJse is that on (0 0j , .7 e Park
<br />.... .. . ............. . you violated Secticm tLoA
<br />and Open Space Rules, and/or Section r ................. - of the Eugene (I'ode, 197 1, and./or ORS -- .. wit, you: ..................... . ....... _
<br />---- - - - ---- . ...... - - - - - --------- ................................
<br />(Description orthe violati(m.)
<br />This restriction of use is effective beginning on and shall remain in effect until 67,
<br />-Q�� U/I . . ..... ..... Ij-QLi
<br />If you enter in or use any City of Eugene park, open space or flacifity dufing the eff'ective period of this Notice, you may bir
<br />arrested and charged with cruninal trespass in the second degree,
<br />pursuant to Park and Open Space Rule R-4.074 you are entitled to an inf'orrnal hearing to contest this Notice, A request for an
<br />infbnnal hearing must be made in writing and filed with the Parks & Open Space Division Director q -the MvIsion Dircdor"),
<br />within 49 hours (exclusive of weekends') of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR
<br />97402.
<br />I'he Division Director shalischedule a firne and place for the inforinal hearing to be conch,icted, whiOi shall be not rrilori., Cham
<br />72 hours (°exclusive (if weekends') est receipt of The request for hearing, At the informal hearing the Division Director win ill only
<br />consider testimony frorru YOU, City personnel involved in the incident that resulted in. this Notice, and ofliier witnesses to the
<br />incident, The Division Dircletormay exclude anyone, other tfianyou and those presenting testimony, from the, infornial
<br />This Notice shall reinain in effect pending any requested hearing.
<br />This Notice, (A'Exclusion was delivered to, the persmi named at the top ofthis Not the data, and tin -w shoym above l-oY
<br />......... . . . . . ...... .. . . . .. .. ......... ----
<br />I hereby acknowledge receipt of the above Notice wa the dale and time
<br />of person issuing/defive-ring nofice,,)
<br />whk.�� Copy: PuNic Work'r; Girc.:cn'i Uopy� Rilk., Yelkvw (-'Opy Rqxxt Cupy Pink Copy: Rrxipi�ent ChAd Copy� Offic'er ?'I[,PPn,.fl no ince R04A)l
<br />. . ...............
<br />Nanw� Lasl First Middle
<br />1[) () 13
<br />Res, Addrcss: efty State State lips.
<br />Phone�
<br />Work Phonc;
<br />&AA-az&
<br />.
<br />. . . . . ...............
<br />Under the authority ofAdministrative 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 />)d— Entering in or using all City of Eugene Parks, open spaces or facilities.
<br />0 1 . ...... . . . ... ......... . . ..... . ...... I ............................. . ..... . . . ........................... . ..... —1 . . .................... ....w ................ . ...................
<br />The basis for this Notice of Restriction of LJse is that on (0 0j , .7 e Park
<br />.... .. . ............. . you violated Secticm tLoA
<br />and Open Space Rules, and/or Section r ................. - of the Eugene (I'ode, 197 1, and./or ORS -- .. wit, you: ..................... . ....... _
<br />---- - - - ---- . ...... - - - - - --------- ................................
<br />(Description orthe violati(m.)
<br />This restriction of use is effective beginning on and shall remain in effect until 67,
<br />-Q�� U/I . . ..... ..... Ij-QLi
<br />If you enter in or use any City of Eugene park, open space or flacifity dufing the eff'ective period of this Notice, you may bir
<br />arrested and charged with cruninal trespass in the second degree,
<br />pursuant to Park and Open Space Rule R-4.074 you are entitled to an inf'orrnal hearing to contest this Notice, A request for an
<br />infbnnal hearing must be made in writing and filed with the Parks & Open Space Division Director q -the MvIsion Dircdor"),
<br />within 49 hours (exclusive of weekends') of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR
<br />97402.
<br />I'he Division Director shalischedule a firne and place for the inforinal hearing to be conch,icted, whiOi shall be not rrilori., Cham
<br />72 hours (°exclusive (if weekends') est receipt of The request for hearing, At the informal hearing the Division Director win ill only
<br />consider testimony frorru YOU, City personnel involved in the incident that resulted in. this Notice, and ofliier witnesses to the
<br />incident, The Division Dircletormay exclude anyone, other tfianyou and those presenting testimony, from the, infornial
<br />This Notice shall reinain in effect pending any requested hearing.
<br />This Notice, (A'Exclusion was delivered to, the persmi named at the top ofthis Not the data, and tin -w shoym above l-oY
<br />......... . . . . . ...... .. . . . .. .. ......... ----
<br />I hereby acknowledge receipt of the above Notice wa the dale and time
<br />of person issuing/defive-ring nofice,,)
<br />whk.�� Copy: PuNic Work'r; Girc.:cn'i Uopy� Rilk., Yelkvw (-'Opy Rqxxt Cupy Pink Copy: Rrxipi�ent ChAd Copy� Offic'er ?'I[,PPn,.fl no ince R04A)l
<br />
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