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NOTICE OF RESTRICTION OF LJSP� <br />and Notice of Right to Appeal <br />DATF� TIME: CASE <br />. ................ . . . ..... . . ............... ... I.------.".- . . ......... <br />LO(I ATf 0 N (PAR K/0 PEN SPAC E) � _WAS 6 f�; ccz� <br />........... . . . . . ............... . . ..... . ............. . . . ------- -- - <br />Narne: Last First Middle N) B R.,,.icc;S� �X <br />;7 <br />z <br />. . ....................... <br />Res. Address: CitCate Zi[IhoeI Wok Phony Stap Rcs. n� ije. <br />Z- <br />;4 '1 ate Z <br />A /I A/A/ <br />Under the authority of Administrative 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 />Entering in or using all City of Eugene parks, open spaces or facilities. <br />. . .......... . ......................... ............... . . . . . . . ...... ........................... . ............ . --.— . .......................... . .... ............. . . ..... . ... <br />The basis f6r this Notice ofRestriction I is that on L1 -2-0i- )71 <br />. ...... . . r . ......... . . . . ........ L you violated Section ( of the Park. <br />r . .. ...... ....... . <br />I Open Space Rules,, and/or Section <br />MUM <br />EM I <br />of the Eugene Code, 1971., and/or ORS T`Owit, you. <br />.M <br />(Description of the violation.) <br />This restriction of us is effective beginning on 01ZI-09- and shall remain in effect until <br />................ <br />If you enter in or use any City of Eugene park-, open space or facility during the effective period ofthis Notice., you rnziy be <br />arrested and charged With criminal trespass in the second degree, <br />Pursuant tea Park and Open Space Rule R -L074 you are entitled to an inCorrnal hearing tri contest this Notice, <br />informal hearing naust be niade, in writing and filed with the Parks & Open Space Divisivtn Director ("the Division [)Irector <br />within 48 hours (exc lusive of'weekendq) of receipt ofthis Notice at the 1`61lowingaddress: 1820 Roosevelt, Blvd, Eugene, OR <br />97402. <br />The Division Director shall schedule a time arid place Ir6r the informal hearing to be conducted, whiuh shall be- not mo.ore than <br />72 hours (exchtsive of weekends.,,) of receipt of the request for hearing, At the informal hearing the Division U)irector %I only <br />consider testimony from you, City personnel involved in the incident that resulted in this Nodicf,.% I other wiftriessies (o tile <br />incident. The Div is, ion Director may exclude anyorie, other than you and those presenting te stiniony, friorn I hic hifi.,Prnua l hieari rq._� <br />This Notice shall reniain in effect pending any requested hearing. <br />This Notice of Exclusion was delivered to the person named at the top ot'this Notice the date �� nd It,' e st wn �above b�v <br />. ............. . . . . . ..... . .. . . ...... . . ..... . <br />(Siyu,nature i perAsonissuing/ <br />? 9fivering notice) <br />I hereby aclaiomdedge receipt of the above Notice on the date und time indicated jNwe. <br />. . . . . ....... <br />(Si, ature of persm� being issued the nohcc,'� <br />4�t A�t I V �- `0 f <br />fflnw� Copy Pubfic, Works (Arttenl Copy; 1,11le VcRfrvw Copy! Repoo. Copy Pink Cnpy: RrnApent Go[d Crra17,, .Ajppf.,,a I nnurrr,,I,y Rrxrv, 11,0/[J.I" <br />