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NOTICE, OP'RESTRICTION OF USE ZM 3 �u OA- C;') <br />amid Notice of Right to Appeal <br />DA,,rE:: 0-7t V1,.5 TIME::CASE,1: <br />cl.? ....................................................... <br />LMATION (PAIRK10FIEN SE"Al(7E),A ljo jMJ <br />.... ... .... . . . . . . . . . . . ... . . . . . . . . ........................................................................................................................................................................ . <br />Nanjeu Last HTSt Middic II U(T11'sul <br />. ........................................ <br />ILI Res. ikddrcss� C."ity State Zip I phonc� W�urk �-`horiel <br />0.1 1 --±1 ............ <br />Under the authority (of Administrative Order No. 58 03-24-17 and Park and Open Space Rule R-1.015(3), vou are herehv <br />notified that you are prohibited from (check box). <br />Entering in or using all City of Eugene parks, open spaces or facilities., <br />0-7 you violated Section _ tcai( MR. <br />The basis for thus N otice o f Restriction of Use is that on .)fthe Park <br />and Open Space Rules, and/or Section C.2 U I ef of the Eugene Code, 1971, and/or ORS To wit, yul.,E� ...... <br />... ......... . ....... .. ....... <br />............. . . muu� .. ................................... . . .... . .............................. k?� .................... .................................... .. .. ..... .. .. .. .. .. .. .. .. .. .. .. ................. .. .. .. .. .. .. .. .. .. .. .. .. . . . . .. .. .. .. .. .. .. .. ................................................................................ . . . . ............................... . <br />(Description of the violation,,) <br />This restriction of use is effective beginning on . .................. . ......... , and shall remain in effect until <br />IV you enter in or uric,any Ci ty ofEugene park, open space or faci li ty during the e ftective pe�riod oftrios N of i cc, you Inay be <br />arrested and acharged with crinihial trespass in the second degree. <br />Pursuant to Park arid Open Space Rule R 1.074 you are entitled to an intbrmal hearing to contIcst this Notice. A request a.)ir an, <br />informal hearing niust be made in writing and filed Frith the Parks & Open Space Division Director i"the Dj%jrisian <br />within 48 hours texckm-vc ofweekends) of'receipt ofthis Notice at the followingaddress:: 1820 R(rosevek, Blvd., Eugene, OR <br />97402. <br />The Division Director shall schedule a time and place f6r the informal hearing to be clonducIted, which shall The not ii1ore 041r,1 <br />72 hours (exclusive of weckends) ofreceipt of the request for hearing. At the infbmial hearing the Division Director wiH only <br />consider WStirTlonyr frorn yj0U, ('Iityr personnel. involved in the incident that resulted in this Nofict.,- ,and other wnnessiG n Icr rhie, <br />incident. The DivisIian I.Nrectrar i -nay exclude anyone, other than you arid those presenting arcstiniony, from I iiiruldrrnaal hearing, <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of Fxclusion was delivered to the person earned at the top of this Notice at the date 0-nd tinie shown above t)y� <br />"n...- <br />.............. . . ........ . ...... le, ) I. r <br />!n . . .............. ......................... . .. ...................................... . . .. . . . . ...... <br />(Signalure of person niotili �e) <br />1. hereby acknowledge FCLICipt Olf the at)ovie Notice on the datc, and time indicatcd a.bove. <br />. .. ...... ...... - <br />(._i <br />, ature being rssi,u.,,,d the nwicre) <br />Wlhvw� Copy Pukjhc WI:vrkv, Grcrcm rr.'ojpy Fflir Yellow Copy: ReTod Copy pjnL Copy: RVvIj?I',mL GO llcf ir, (upy iClfficvg AijRprr-,J LLU1l.1. 'i::` I , 04 10`; <br />