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NOTICE OF RESTRICTION OF I]SE <br />and Notice (of Right to Appeal <br />'7 N # /,Z? <br />DME 'riME: CASIE U� <br />I..,O(.,'.A'f'[ON (PARK/011"N SPACE): <br />Do[ S <br />jC1 fq� <br />. . . . . . . . . . . . ................ <br />Req. Address:Chy static, zir-ji R�es, Phone <br />Phonc�: <br />Al <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 />VEntering in or using all City of Eugenc parks, open spaces or facilifick <br />M <br />The basis for this Notice oi'Restriction of Use is that on you viollaied Sectic'm / ofthe Park <br />........ . . . . . ....................... - <br />and Open Space R.Wes, anid/or Section of the Elugene Code, 1 '97 1, and/or 0 RS TO wit, yokr <br />�U:�� . . . . .. .. .. . . . . . . . .............................................................................................................. . .......... . . . . . .................................... <br />. . ......... .. Le <br />(Description of the violadon.)i <br />-/ <br />This restriction, of ung se is effective be on and shall remain in effect until <br />..................................... . . . . . .. .. ...... .7 .... . .......... . <br />If YOU enter in or use any ("ity oI,..ugene park, open space or facility during the eft.' clive pericrol of:. this Notice you truay l:>e <br />arrested and charged with criminal trespass in the second degree, <br />PurSUant to Park and Open Space Rule R.- 1 M74 YOU are entitled to an infi3rrnal hearing to contest. this Notice, A request 6or an <br />nrl'ornial hearing niust be inade in writing and filed with the Parks & Open. Space Division Director (' the Division Dlrieck,)r-) <br />within 48 hours (exclusivc ofwcckends) of receipt of this Notice at the following address., 1820 Roosevelt, Blvd., Eugene, 011it <br />97402. <br />The Division Directordiall ,rhcd.ulc a firne and place for the infor-nial hearing to bic oonducted, which shrill be not MOPE! ffian <br />72 h0UFS (eXCIUsive of%vee.k.en cis), of'receipt offfic request fbir hearing. At the infbmial hearing the DMsiori Director vriH only <br />consider testirviony from you, City personnel involved in the irwident that resadited in this Notice, anid other witnesses tin the <br />uncidcnt, The j)jVjSiojjj Director niay exch,icle anyone, other than you aml those presenting teSiiTl-iony, firorn ffie in(dr-mal hit"WAng, <br />This Notice shall remain in effect pending any requested hearing. <br />This N ofic e of E xc lu s lon was delivered to the person narned at the top of this Ng cue art the da k., a n I <br />I hereby acknowledge rcccipt of the above Notice on the date and tirne in <br />(Sij..;V11#fi'Jk-e of person issuing/delivering nofilce) <br />icd albove, <br />............................................................. . . .......... .... <br />of person being lsm.wd the nodcu,� <br />�hlwx, t'upv wlubh, Wod" G'Imun rr-.cPyrhk- N,r:U,,),,k Ccq)y� Repor. Copy Nnk Copy Rcop6erm Guld Cc,pyl k3ffimror `aPjpeal 110XI"T Re%, OVYl, <br />