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NOTICE OF RESTRICTION OF USE <br />and Notice of [tight to Appeal <br />........... ....... . <br />'rlw. . . . . . . . . . .......................... <br />DATE: � �/0 '/7. A" CASE It: <br />7 -R. <br />LOCATION (PARK/0PEN SPAC,E)�� a: -'-43-r PQfZ),-e �61- vc KS <br />. . . .................... . . . . ................... . . . . . . ..... . ....................... . . . . .. . . . . ................................................................................... <br />Name: La,,a- First Middle I)OW Race/Sex: <br />°tri <br />zm — — --------- — - - <br />Rcs. Addr";; City Work Phone� <br />I. . . ....... . <br />Under the authority of Administrative Order No. -03-24-F and Park and Open Space Rule Rar <br />-1.005(3), you e herchy. <br />notified that you are prohibited from (check box) - <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />. .... . . ............................................................................................................................................................................................................ ..... . <br />f o <br />'The basis For N <br />this Notice of Restriction uf Use is thDo <br />at -7 <br />. . . ....... You Violated section,�jDfthe Mark <br />i(Vor Section. of the Eu gene Code, 197 1., and/o�r �O R S �-f' To wit, <br />and Open Space Rules, an -1-9 7 �6 <br />. .............. . . �12 <br />(Description of the violation) <br />This restriction of use is effective beginning on and shall remain in effect unfil <br />Ifyou enter in or use any City of Eugene park, open space or facility, during The effective period. of thi,,.,, Notice, you n'i,,.]y be <br />arrested and charged with criunflal 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 request [or an <br />inforrnal hearing rnust be made it.) writing and filed with the Parks & Open Space Division Director ("'tire Division Directrar""au <br />widun 48 hours (exclusive of'weckends) of receipt of this Notice at the (61lowing address: 1820 Roosevelt, Blvd., Eugene, (DR <br />97402. <br />The Division Director shall schedule a time and place for the informal hearing to, be conducted, which shall be not more- than. <br />72 hours (exclusive of weekends) of receipt of the request for hearing. At the inforrual hearing the Divisk)n Director will only <br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnessics tii,) the <br />incident. The DiOsion Director nnay exclude any(,.me, other than you and those presenting lest imony, from the inCorrnal hearing, <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 an, firne shown aboveby: <br />(Signature of person issi ing/delivering no6ce� <br />I hereby acknowledge roccipt ofthe above Notice on the date and tinne indicated above. <br />l iature of person being issued the nwice) <br />aturc <br />Whav Copy: Pup h"oflcq Green ti r,PP;'F'O v 'Y'eflu"� CopyaRepon Copy Nnk C'c,py: Recipient Gold Copy: nfY'jei,-,r Appal nnufr; P""", 04140, <br />