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NOTICE OF RESTRICTIONOF USE
<br />and Notice of Right to Appeal
<br />DATE, T[ NI E.- 7$71 CASF
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<br />LOCATION (PARKA)PEN SPA(1-1'')�:
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<br />Nunic:: L.,,aq First Middle DOW Racel,Sex�
<br />ScL 1*�rttf44 c, ?.3c;KI 4,
<br />Res, AddTGI,,&: State � zip Res, Phone: Work Phonic:
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<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 front (check. box):
<br />Entering in or using all City of Eugene parks, open spaces or facilities.
<br />El 11
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<br />You vio�alerl Section 1` the Park
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<br />The basis for this Notice ol'Restri ction. of Use is that on 7TI -5 . . ........... . .. . ....... ......................................... . ................. . . . ....... ................. . ........ ....
<br />and Open Spacc Rules, and/or Section ......
<br />. ........ . of the Eugenc Code, 197 1, andlor ORS . ............................ .. To wit, you:
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<br />(Description ofthe violalion,) 1 -7 f iTI
<br />This restriction of use is effective beginning on I
<br />-,,-and shall remain in effect until 4wk
<br />If you enter in or use any City OfEugene park, open space or facility during the effective period of this Notice, you u rmay be
<br />arrested and charged with criminal trespass in the sceond degree.
<br />Pursuant to auric and Open Space Rule R-1.074 you are entitled to an infOT-mal hearing to, conioii, this Notice. A requio-sit f0i'MI,
<br />inforinal hearing must be made in writing and riled with. the: llarkq & Open Space Division Director ("the Division Djrt.-c:hrxr,-)
<br />within 48 hours (exclusive of'weekends y ofreccipt of this Notice at the folloMng, address1820 Roosevelt, Blvd., Eugene, OR
<br />97402.
<br />The Division Director shaill schedule as time and place f6r the infiotrnal hearing to be conducted, which shali be no�t mir.�)re than.
<br />72 hours (exclusive of weckends) eel receipt of the rcquoa fior hearing. At the informal hearing the Division Director 66ll only
<br />consider testirnony from you, City personnel. involved iri the incident that resulted in this Notice, and k..Kher witnessK,,-s tothe
<br />incident. The Division Director may cxch.ude anyone,, other than you and (hose, presenting testimony, ftcrrn tl-w infotynal, licuring,
<br />This Notice shall rentain in effect pending any requested hearing.
<br />This Notice of Exclusion was delivered to the per on narned at the top of this Notice at the date tind fime shown ablovic by:
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<br />(Signatuii'L of'person issuin, Idelivering nctict"),
<br />1. hiereby acknowledge receipt ofthe above Notice on the date and time indicated above.
<br />(Signahire of perscm being, jssut,,d the nolice)
<br />1411[ke Copy! Publw Works Greg rvCbpFu e Y""Ho "v is lrrpyHvpft Cupy Pink Corry Recipient Gold Copy, Of AppeLaJ wl PC,, IRR i.K+01
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