NOTICE OF R,ST RICTION OF USE <br />and Notice of Right to Appeal <br />DATE� V Z 0-11-15r TIME:-72�'7jl 'Of CA S E W: <br />I .. ......... <br />1,0CATION (111ARKJOPEN SPACE), t4tj-prj 6 <br />- -­ . . . .................... . ..... . . ........ . . ...................... . . .... ...... . ......... ------- . . . . ...... ................................ I ----------- . . . . . .............. . <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule 11 4,0015(3), you. are hereby <br />notified that you are prohibited frorn (check box): <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />................................................. . .................................................................. . . . . . . . . ................................... . ............................... . .... I . ........... ... ................ . ...... <br />The basis fiat this Notice of Restriction of U5e is that on I ......... . . — --- ,. -1-1 ................. ----` you violated Section 1JAPA1,4 thrc.,, Park <br />and Open Space Rules, and/or Section I.-JO?-ot'the Fugene Code, 197t, and/or (.')RS TO Wit, Y 0 LE­­­........­ <br />PAD <br />4-_ M <br />(Description or the violation.) <br />'rhis restriction of use is effective beginning on 72D i5� shall remain in effect untill <br />, -P --L -,and, Dzp L <br />Vyou enter in or use any City of. Eugene park, open space or facility during the effective period raft pis Notice, you may be <br />arrested and charged with criminal trespass in the second degrec. <br />Pursuant to Park arid Open Space Rule 1t-1.074 you are entitled to an informal hearing to contest this Notice, ,), request 'f'6r an <br />intbrynal hearing must be una,de, in writing and riled with the Parks & 0pen Space Division Director ("the Division Director") <br />within 48 hours (exclusive of weekends) ofreceipt of this Notice at the following address- 1820 Roosevelt, Blvd, Eugene, OR <br />97402. <br />The Division Director shall schedule a mune and place for the inf'ormai hearing to be eondu�..,,ted, v(hich shall be not inore, than <br />721 hours (exclusive of weekendi) ofreccipt ofthe request for hearing. At the ird'ornuil hearing the Division Director wffl only <br />consider testimony firom you, City personnel involved in the incident that resulted in this Notice, and othv�r witnesses to. the <br />incident. The Iia visioni Director may exclude anyone., other than )Pon and those presenting testimony, ftom the infbirrrial. he-aririg. <br />This Notice shall remain in effect pending any requested hearing. <br />Tlais Notice of'Fxclusioni was delivered to the person naniedat the top of'this Noflice at th*fIfftV­-M1 tirne shown albovt:, by: <br />' naturc ofpci soi issuiynj noficcl) <br />I hereby acknowledge receip( of the above Notice on The date and time indicated abovie. <br />.... . . �qz <br />. . ....................... . ...... . ...... . ........ . . . . ............... ........... .. .... <br />(Si attuure of PC son cing us,stue Issuethe notice <br />White Crqy: Pubb., OM1' orl,,s Green Cclpy: F�'Ic Yellow ccq1)': Report Copy Pink C'opRecipen t a: tial C',,II OFRf.:Pr Appe-at no6ce Rev 04,'03 <br />