NOTICE OF RESTRICTION OF UCSE <br />and Notice of Right toAppeal <br />DATE Q -7.7/o 6 TIME: CASE#� <br />K. <br />LOCATIONWARK/OPEN SPACE ---.. --13 - ----- --- 6-4, V. .......... . . .. . . . . ......... .. .. ............... . . . .......... I ......... - -------- . . . .. ....... . ... .. <br />M <br />notified that you are prohihited from (check <br />,x Entering in or using all City of Eugene parks, open spaces or facilities. <br />F-1 <br />"The basis for this Notice ot'Restriction ofUse is that on you violated Secfi(r)n/C--0/C�4-1,he Park <br />and0pen Space Rules,qnd/orSectian. 1 -..---...---....---of the Eugene Code, t971, and/ot ORS Towit.,you .. . . . .............. <br />MZMM <br />M <br />This restriction of use is effective beginning on,19 <br />AN <br />If you enter in or use any City of Eugene park-, open space or facility during the effective period of this Notice, you may he <br />at -rested and charged with criminal trespass in the second degree, <br />PurWantto Park andopenis Space Rule R-1.074you are entitled toaninl'i)nTial, hearing to contest (his Notice. Arequest for tern <br />inti)MIU]hearing must be made in writing and filed with the Parks & Open Space.Division Director ("the Division Director") <br />within 48 hours (exclusive of weekends,) ot'receipt of this Notice at the lJollowing addressu 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Directorshall sche(Jule a time and place for the infortnal hearing to be conducted, which shall be not more than <br />72 hours (exclusive of weekends) of receipt of the request for hearing. At the informal hearing the Division Director will only <br />consider testimony from yuu, City personnel involved in the incident that, resulted in this Notice, and other witricsse�s,,, to the <br />incident. The Diviqion Dinxlor may exclude anyone, other than you arid those presenting testirriony, from the inR3rinal hicari ng <br />This Notice shall remain in effect pending any requested arming® <br />This Notice of Exclusion was delivered to the pprson named at the top of this No 'c , ,, , f� and tinic shown abovir b�y.y <br />TROA410 n . ........ I ............... — - - , -- , """ <br />WLITC of persc ii issuing/ ehivering notice) <br />> 'ISC <br />i0m �Ign <br />I hereby acknowledge receipt of the above Noti.ce on the date and time indicated above. <br />X- <br />---- - -- ............... ........ . .... ... . ... . . . . ...................... ........ <br />(S' nature. �of person being Issued i$11L.12tice) <br />on� , <br />W i1i I C C upy P Uh i , W 0 File Y v. I V ow Cop y: R ppu M Copy Mink Re-,ipjew, U 1d (.bp Y : iakli -e A pjpv�kt I I r , a k: ,, M,. 01 V;,10, <br />