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of <br />NOT ICE OF RESTRIcriON OF USE "t 0.3 41r <br />ci <br />and Notice of Right to Appeal 1-\ (Z 5 <br />DA,rf,' <br />)7o "T, �5, TIME: CASE 4: 571 <br />. ........... . . . . . ........ . ............................... . . . . . . — ............. . . - . . . ....................... ...... ................. <br />K IeKS <br />L0(--'ATI0N (PARKIOPEN SPACE <br />. ............. . . <br />Name: Last First Middle DOB� Raue/cx� <br />z <br />-5'V, 060L 92 W P, <br />. . . . . . ..... . . .................... . <br />Res. Add.ress: (-it), State Zip ResIPbone� Work. Phune� <br />Under the authority of Administrative Order N®. 58-03-24-Fand Park and Open Space Rule R-1,005(3), you are hereby <br />notified that you are prohibited fro m (check box). <br />P Entering in or using all City ofEugene parks, opens aces or facilitics. <br />it <br />The basis for this Notice of'Restriction of Use is that on 670911S you violated Section o4rthc�� Patric <br />........ . . ... . ...... . .................. <br />and Open Space Rules, and/or Sectioni dY ofthe Eugene Code, 197 l, and/or ORS ...............----- ....... . . ......... . TO wit, yc%l� . ............ . ........... <br />I�A 61`0 INCS-r PA,112w— <br />.. . ..... . . ..... . ..... . . . . .. . . . . .................... . ........................................................ ---------- ...................... I ................................................. I .............. .:r_. <br />------ . . . . . . . . . . . . ............. . . . <br />(Description ofthe violation.) <br />This restriction of use is effective beginning on and shall remain in effect unfli ............. <br />If you enter in or use any City ol'Eugene park,, open space or 1"acility during the e0'ective period of dais, Notice, you rnay be <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 infbrmal hearing to contest this Notice. A request ft.)r an <br />infonnal hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Direc(or") <br />within 48 hours (exclusive o(weekends) of receipt of this Notice at thetbIlowing address: 18201 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Director shall schedule a time and place for the informal hearing to be conducted, which shall be not snore than <br />72 hours, (exclusive ofweekends) ol'reccipt of the request lor hearing. At the infornial hearing the INvision Directorwill only <br />consider testimony frorn you, ( ' .1 ity personnel involved in the incident that resulted in this Notice, and other witriesses to, the <br />incident. -Hie Division Director may exclude anyone, othcr than yot.i and those presenting testimony, from the anlbrrnal heating, <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of F"xclusion was delivered to the person named at the top of this Notice at the (late and i xe shown ablovie <br />. .......... ................ .. ................. .. . <br />(Signat is ol'person, iyiuing/delivering, aofic) <br />I hicrebyacknowledge receipt of the above Notice on the date and time indicated above. <br />akftzt--�,7-p . ............ ........ <br />(Signature of person being„ tissued the notice) <br />Whitu Ckypy:, Public Wo&., GRtun Uupy: t He YeHicrov Cr,4,y: RTc?o Copy Pink Copa Re6picnil GiAd Copy Dffic,.nApptull nnil ki:u, k 1,W1,10 J'� <br />