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NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATE: TIME: 'CASE # <br />........ .. . ........... <br />LOC'ATION (PAR114 SPACH): <br />(211,,IIAC� -- <br />IJ <br />Under the authority of Administrative Order N(L 58-03-24-F and Park and Open Space Rule R-1.005(3), you are hereby <br />notified that you are prohibited from (check box) - <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />The basis l'or this Notice of Restriction. of Use is that ond7Z015- you violated Section <br />--- - -------- -- . . . . . . .............. . . /-2 -11-ic Narl,,,. <br />lYO ILI: <br />and Open Space Rulcs,and/or Section of the Eugene 1971„ andJO <br />or RS . . ...................... . . . To Wil, . ......_..--- <br />(Description <br />...........(Description of the violation.) <br />This restriction of use is effective beginning on b7p,—D.rr, and shall rentain in effect until 10 <br />.. ............ . . . <br />If you enter in or use any City of Eugene park, open space of- facility during the effective period of this Notice, :you may ble <br />arrested and charged with criminal trespass in the second degree. <br />I?UrSalant to Park and Open Space Rule R-1.074 you are entitled to an informal hearing to coma st this Notice, A request fior an <br />informai hearing must be rrnade in writing and Filed with the Parks & Open Space Division Director ("the Division DirecAM"") <br />within 48 hours, (exch.hsive 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 tire informal hearing to be conducted, which shall be not more than <br />72 hours (exclusive o( weekendsr) ofreceipt of the request for hearing. At the informal hearing the Division ffirectorv,n t only, <br />consider testimony ft(.,)m you, City personnel involved in the incident that resulted in this Notice, and other witnesscs to the <br />incident. The Division Director rnay exchide anyone, other than you and those presenting, testimorry, from the in (6rrnal hearing. <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of Exclusion was delivered to the person named at the top of this Notice, a ie s own above, by: <br />rc urfpcts¢auti iss ing/ no6cc' <br />I hereby acknowledge receipt of the above Notice ort the date and time indicated above. <br />1, e urf Person 16ng issued the ncstice) <br />White Copy: Public Work., Cireen copy: He Vellow C.'rcIapy, Repon Copy Piiik CopyRmpwm GrAd Uopy�. Offker Appeal niI R„ Od 110 �? <br />