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NOTICE OF RESTRICTION OFLISE
<br />and Notice of Right to Appeal
<br />DATE� 11 1: 7dc� CASE ft�:
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<br />1.,0CATION (DARK/ PEN SI`ACE)° Jc
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<br />Underthe authority of Administrative Order Dara 58-03-24-Fand Park andOpen Space Rule R-1,005(3),you are hereby
<br />notified that you are prohibited from (check box):
<br />A;?/ Entering in or using all City of Eugene parks, open spaces or facilities.
<br />M
<br />The basis for this Notice of'Reqtriction of Use is that on You Violated Section C11 du, of the Park
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<br />and Open Space Rules, and/or Seefion, of the Eugene C'ode, 197 f and/or ORS To wit,.yoiu:.
<br />(Description of the violatiom)
<br />"rhis restriction of use is effective beginning on ud: shall rernai n in effect u ntil
<br />If you enter in or use any City rat'" Eugene park, open space or facility during the effective period of" this Notice, YOU ffuay be
<br />arrested and charged with criminal trespass in the second degree,
<br />Pursuant to Park and Open Space Rule '-'1.074 you are entitled to an infarmal hearing to or,.)ntest this Notice. A. request for an
<br />informal hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division rias ctoy ,,, )
<br />within 48 hours (excluNive of'weekends) of receipt of this Notice at the following address:: 1820 Roosevelt, Blvd., Eugene, OR
<br />97402.
<br />The Division Director shall schedule a time and place for the informal hearing to be conducted, which shrall be not marc than
<br />72 hours (eXCIUsive of weekends) of'receipt of the request for hearing. At the informal hearing the Division Director will only
<br />consider testirnony frorn you, (. . 1ty personnel involved in the incident that resulted in this Notice, and other witne,,sses, to HIC
<br />incident, The; Division Director may exclude anyone, ot.her than you, and those presenting testirnu,.Pny, from thc infurma[ hearing,
<br />I'his Noticeshall remain in effect pending any, requested hearing,
<br />'This Notice of Exclusion was delivered to die person narried at the top ofthis Notice at t fte and time shown ablovir by:
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<br />Ignat
<br />,nature of person u_ssuing/delivg n
<br />crinoflce)
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<br />I hereby acknowledge receipt ofthe above Notice on the date and time indicated above.
<br />(Signature t,'A'person bleing the nioticir,)
<br />Wli i [e iC o py; IN iib I i rc Wo rk.+� CkQanCopyHk., V[4k,w Copy Reporl C71.PA Cc,py: Hff.quent Gold Copy, Officer Apc,,Ad ril,)1ill,A, lR c", 04,'O.4
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