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NOTICE OF RESTRICTION 01" USE
<br />and Notice of Right to Appeal
<br />TIME: anS- CASE fl: -/S
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<br />LO("ATION (PARKA)PF.N
<br />Narr% Last P
<br />Firgi Middle Race� �s
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<br />kes, A,ddro�,,,c- Suite Zip Res. hone: Work Phone:
<br />ry— :!7nSu] --- . . ...... . ... . ..........................
<br />Under the authority of Administrative Order No. 58-03 24-Fand Park and Open Space Rule R4.005(3), you. are hereby
<br />"oti fied that you are prohibited from (check box ) -
<br />01", Entering in or rasing all City of Eugene parks, open spaces or facilities.
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<br />`Fhe basis for this Notice of Restriction of Use is that on ection.
<br />you violated S ofthe
<br />,and Open Space, Rules., and/or,5'oection Xd%_ _ ofthe Eugene Code, 1.97f, and/or ORS 'f�o Wit' Yotl�� . ......... .
<br />&KAL--/-A?K. . .............. iAdl .................. ............................................. . . . ....... . ............................................ . .. . . . . . ........ - --------------------------
<br />(Description Of the VifflatiOTL)
<br />This restriction of use is effective beginning on -j2l-K and shall remain in effect until ---- C�qj-<
<br />if you. enter, in or use arly (."'Ilty of Eugene park., open sp�ace or facility during the effective period ofthis Notice, you may be
<br />ar-rested and charged with crin-unal trespass in the second degree.
<br />Pursuant to Park and Open Space Rule R-1,074 you are entitled to an infbry-nat hearing t.o ca nlest this Nofice. A requiest f6r an
<br />info=al hearing inust be rnade in writing and filed with the Parks & Open Space Division Director ("the Division Dirir.icror")
<br />within 48 hours (exclusive of'weekends) of receipt ofthis Notice at the f6flowing address: 1820 Roosevelt, Blvd., Eugene, OR
<br />97402.
<br />'The Division Director shall schedule a finic and plw,,c for the iril'ornial hearintg� to be (,.,.uriducted, which shall i:w not rnore Hoare,
<br />'72 hours, (exclusive of weekends) ofreceipt of the request for hearing, At. the rriforrnal ficanng Clic Division Dircctcir wifl only
<br />consider testirriony Crom you, ( Ily personnel invo�lved in the incident that resulted in this Notice, and other witnesstin the
<br />ci:or may exclude anyone, other than you and those presionling tesirniony, from the, infornW hearling.
<br />incident Fhe Division Dire
<br />This Notice shall remain in effect pending any requested hearing.
<br />rfl1i,,; Notice of F`xckislon w,,as delivered to the personnatried at the top of this Notice at the clrite und tirrie show; n-rabove by��
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<br />(Signature cff peirson issi.iii.�Et,/Idleliw,-Ivrili,p., notice�,,u
<br />Thereby acknoWledge recopt ofthe abovir Notice on the date and time indicated abovc�.,
<br />(SiguahLire c.4 plersork b6ng, the
<br />'Nhww UopyPuk,&c, %Voikq Gre,,rwvCop,b. Ne 16.-.Urwv C'ty Repm.. Colvy Pmb, Copy: R,x,uPw'm " G
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