NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATF,� _6 '.1 IVS, 11 11 11C&S E li� <br />............ ....... .... I . .............................. . . 6&0 .... . . ............. . . .. . . . . . ....... .................. . ...... ... . ................... . .. ... . . . . <br />I ()CATION (PAIR.Ki'M N S P,,,% C E) 01c"raw MA� 0414 <br />........... ................ - — ----- - - MAI . ..................................... . .. . ...... <br />..... . . .... . . . ..... <br />NaTncDeist Fin't Middle DOB: Ra a Scw,'; <br />/ILI <br />Re,- Address City state Zip Res, 111%kmr,: Mwk Flhonc'� <br />16." <br />Under the authority of Administrative Order No. 58-03-24-F and Park, and Open Space Rule R„,1.005(3)1., you a r e here by <br />notified thalyou are prohibited from (check box) - <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />................. . .. . . . ......... . . . . . . . ...................................... . . . ....... . ................. I ............................. . . The basis lor this Nalice of'Restrinon ofUse is that cm011i youvio�atedSec4ion c'f Irrh - Park <br />r . .............. :Mw . . .....�....� <br />-- ... . . .............................. . ....... . . . �.) . r <br />and Open Space Rules, and/or Section C i1ri ------ of the EUtcne Code., 1971, and/or ORS �� To it, yotl�� <br />....... ..... .................... <br />? PI C ...................... . .... . . ............ . . . .......... . ........................... . ....... <br />I . . . . . . ....... LAA'� X. P,4%,k, <br />. . .......................... <br />(Description of thc violhation,) <br />"I'libs restriction of use is effective best!inuing on —6-� and shall remain in effect until <br />If you enter in or use ally (..'ftyr ofEugene park, open space or facility during the efftx;tive perilad ofthis Notice, y(,x,I rn�,,.iv be <br />arrested and charged with crirninal trespass in the second degree, <br />1"ursuant to Park and Open 'Space Rule .-1. 74 you are entitled to an informal hearing to, contest this, Notice. A re1qLK,'pit. If"Fr.)T' Zini <br />inf6rnial hearing must be made in writing and filedwith (lie Parks & Open Space Division Director ("the Division t tan u.r, taainTy"'”) <br />Within 48 hour's (exclusive ofeckends,) of'receipt of this Notice at the following addrcss: 1820 Roosevell, Blvd., Eugenie, Olt <br />97402, <br />The Division Director .shall schedt-ile a time and place for the infon-nal hearing to be conducted, which shall be not mic.pre thun <br />72 hours (exclusive of'weekends) of receipt of the request ibr hearing. At the infortnal hearing the, Division D14%,-ctor will only <br />consider testinicpny fic"ri yo�.x, City personnel involved in the incident that resutted in this Notice., and anther 'witnesses te, U'ie, <br />incidCDt. <br />"I'his Notice shall remain in effect pending any requested hearing. <br />This Notice of Exclusion was delivered to the person named at the top ofthis, Nokca.- at die date and time shiown abo,e� by: <br />........................... . ... I ..................................... . ........... <br />(Signature c'& barericm issuinyldehvering <br />I hereby rick no)v [edge receipt of the above Notice on the date and time indicated salbove, <br />.. . . ..... . <br />.. . .... .................... . . . . .......... .... . .................................... . . . . ............................ . .. .. . . <br />(Signature ol'person being vssued the nofico <br />Whike Copy: Public NVnrhq tsars it ('npr"! Fflr..rUopyRqpuril Copy Nnk Copy, Rec4.)iI.,ml (40W RIIA6Llr <br />