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NOTICE OF RESTRICTION OF USE
<br />and Notice of Right to Appeal
<br />DATL �0-0
<br />-7 t TIMF� CAS F I
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<br />LDCATIC)N (PARK/Off"'N SP,kk'E)`
<br />- . ��A . . . . . . . . . . . ............................................................................................. . . . . .
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<br />Navnt�: Last ll usl Middle DOR it xe/ScV
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<br />1-kies. Addrcss: City St R.es, Phone: Work 111)one�
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<br />Under the authority of Administrative Order No., 58-03-24-F and Park and Open Space Rule .-1.00 (3�, you are hereby
<br />notified that vim are prohibited from (check box):
<br />JK E'ritcring in or using all City of Eugene parks, open spaces or facilifics.
<br />El11
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<br />Tfie basis f6rthis, Notice of Restrictionof Useistfiat on you violated Seic;tion. 1011c, kr*,� of the Park,
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<br />and Open Space RUles, and/or' SectionX " .1 - -.1-1-
<br />0`4 of the Eugene Code, 197 , arid/or ORS r�r.�)vvit,
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<br />(Description offfieviolation.)
<br />This restriction ofuse is effective beginning on and shall remain in effect until
<br />. _..Crv'..............
<br />If you enter in or use any City of Eu park, open space or facility during file CffeOiVie j,.)eTi(XJ of this Noti,ce, you may ble,
<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 infor-rnal ficaring toconles�. this Notice,,. A, request fior an
<br />inforTual ficaring rnust lie inade in writing and Cited with the Parks & Open Space DMsion Director ("the Division Director-)
<br />within 48 hours (CXjGjj,]S1 V�C ol'wee cnds) of'receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR
<br />97402.
<br />"Elie Division Directorshall schedule a tinne and place for the informal hearing to be conducted., which shall be not mc,)re 1harri
<br />72 hours (exclusive ofweekends) of receipt of alae request for- hearing. At the inforinal hearing the Division Dircctar wHi unly
<br />consider, testirriony born you, City per'sonnel involved in the incident that resulted in this Noticliv., and othicr witnesses �o the:
<br />incident, 'rhe Division Directorma exclude ann
<br />yoe, other than you arid those 1:)resenfing testtrnony, from the, inf6rtnal hicaring
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<br />This Notice shall remain in effect pending any requested hearing.
<br />This Notice off-xclusion was delivered to the person named at the top ofthis Nofice at tlw date and time S1111OWn, abov'ie�� t)�qy!
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<br />(Signature L)fpers<,)iri
<br />1. hereby acknowliuclge receipt of the above Notice on the date and time indicated above.
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<br />Whare ( qs I'' ubI ic Wc,dr-, UPCa101111 rr.'O)Ir Y ik' Yullkwv Copy: R,,�.pud Copy Pink iCaur y: PxOpwn� (GAd ('ojp.��, 011rFecrr Appeal in,nhce Rrc-v 04`1101
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