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DATE.
<br />LO(7ATION (PARK/0PEN SPACE)::
<br />NOTICE OF RESTRICTION OF USF
<br />and Notice of Right to Appeal
<br />TIME:
<br />CASE
<br />Under the authority of Admi nistrative Order No. 58-03-24-F and Park a nd Open Space Rule R...1.00513), you are hereby
<br />notified that you are prohibited fr® (check box)
<br />Entering in or using all City of Eugene parks, open spaces or facilities.
<br />of the . a
<br />The basis for this Notice of'RustrictiOn of LIS, ' that on you violated Section P' rk
<br />, 's --------
<br />ion i �(-?
<br />and Open Space Rules, and/or Sect of the Eugene Code, 1.97"1, and/or ORS ------------ - 170 it, you'. . . ................ .............. .
<br />(Description of the violation.)
<br />This restriction of use is effective0 and shall remain in effee
<br />beginning onb ............ t until
<br />11'you enter in or use any City of Eugene park, open space or &ciliry during the effective period of this Notice, you may 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 informal hearing to contest this Notice. Arequestt.'cran
<br />irif'ormal hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Director")
<br />within 49 hours (exclusive ofweckcnds1) ofreecipt of this, Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR
<br />97401
<br />The DivisionDirector shall schedule as time and place for dic informal hearing to be conducted, which shall be not more thar)
<br />72 hours (exc I usiv e o C weekends 1) of receipt o 17the request for hearing. At the inforin a] heari n g tire Division Director will only
<br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to [he -
<br />incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the informal heari ng,
<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 t1jo-09'te and time shown above bye�
<br />............... ... V . ...... W%AO-1 . . . . . . . ------ . . ................................ I .... .. .......
<br />(Signa i u; . esor�o �rsn issuing/delivering notice)
<br />I hereby acknowledge receipt tff the above Notice on the date and time
<br />0
<br />M,roile Copy Public 7n or6 GirrzevrCrjiy: Hc YeAklv- UupReport L'o w, ` Nn CcppyRecipwnt Gold Copy: Offlwur Appcul moilkx Rev, 0,V103
<br />Narne-, LastN Firs Mi(Idle IX
<br />Race/Scx:
<br />LAAO n
<br />Res� Addrc.,,,,e `'ICSir ZiT� Res, Phone:
<br />Wofle,. Phkine�
<br />Under the authority of Admi nistrative Order No. 58-03-24-F and Park a nd Open Space Rule R...1.00513), you are hereby
<br />notified that you are prohibited fr® (check box)
<br />Entering in or using all City of Eugene parks, open spaces or facilities.
<br />of the . a
<br />The basis for this Notice of'RustrictiOn of LIS, ' that on you violated Section P' rk
<br />, 's --------
<br />ion i �(-?
<br />and Open Space Rules, and/or Sect of the Eugene Code, 1.97"1, and/or ORS ------------ - 170 it, you'. . . ................ .............. .
<br />(Description of the violation.)
<br />This restriction of use is effective0 and shall remain in effee
<br />beginning onb ............ t until
<br />11'you enter in or use any City of Eugene park, open space or &ciliry during the effective period of this Notice, you may 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 informal hearing to contest this Notice. Arequestt.'cran
<br />irif'ormal hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Director")
<br />within 49 hours (exclusive ofweckcnds1) ofreecipt of this, Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR
<br />97401
<br />The DivisionDirector shall schedule as time and place for dic informal hearing to be conducted, which shall be not more thar)
<br />72 hours (exc I usiv e o C weekends 1) of receipt o 17the request for hearing. At the inforin a] heari n g tire Division Director will only
<br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to [he -
<br />incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the informal heari ng,
<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 t1jo-09'te and time shown above bye�
<br />............... ... V . ...... W%AO-1 . . . . . . . ------ . . ................................ I .... .. .......
<br />(Signa i u; . esor�o �rsn issuing/delivering notice)
<br />I hereby acknowledge receipt tff the above Notice on the date and time
<br />0
<br />M,roile Copy Public 7n or6 GirrzevrCrjiy: Hc YeAklv- UupReport L'o w, ` Nn CcppyRecipwnt Gold Copy: Offlwur Appcul moilkx Rev, 0,V103
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