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NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATF: 0 -7 TIME: CASE <br />. . . . . . . . . ..................... . ............................. . .......................................... . ----------------- .. . ................... <br />LOCATION (PARKAVEN SPACE): A ............ - ----------- <br />NaTic, <br />Last First Middle D 7 <br />OB. rzacc S <br />10 U t3A &-112 All) <br />� <br />City State /Zilp RR e "s. 1P 1k I oy n e,�:: Work Phont: <br />Re S: <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005(3), you are hereby <br />notified that you are probibited from (check box): <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />24 <br />The b <br />basis for this Notice of R("striction of LJse is that on you violated Section 1, the Park <br />and Open Space Rules, and/or Section of the Eugene Code, 197 1, and/or ORS 0 Wit, <br />'10 <br />77 <br />(Description of the violation.) <br />f bis restriction of use is effective beginning on and shall remain in effect Until <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 be <br />arrested and charged with criminal trespass in the second degree, <br />Pursuant to Park and Open Space Rule R.--1.074 you are entitled to an informal hearing t() 100TIteSt this Notice, A request for an <br />informal hearing must be made in writing and tiled with the Parks & Open Space Division Director (""the Division Mreictor") <br />within 48 hours (exclusive ol'weekends) of receipt of this Notice at the followingaddress: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Oirector shall schedule a time and place f.br the inf6rrnal hearing to be conducted, which shall be not more than <br />72 hours (excliusive of weekends) of receipt of the request for hearing. At the informal hearing the Division Director will only <br />consider testimony from you, City personnel involved in the incident that resulted in this, Notice, and other WitnCSSCS lo the <br />incident. The Division Director may exclude anyone, other than you and those presenting testimony, From die infi)rniA hearing. <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of Exclusion was delivered to the person narned at the top ofthis Notic at the a -shown above by: <br />4ature of p <br />n ei s )n -1 i, s I i - i 11 1 1 ig/de I livering nofice-, <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />Rc—::� f—ti sm <br />---- - --------------- <br />QS ature ------ . . ...................................................... . ..... . <br />ofperson being issued the notice) <br />Whav 4op): Pubhc Works Caren Copy Hir Ydkvkv CopyRep orl Copy Pink Copy Recipient Gold (Aapy: C)fficer Appezil nolice,� Rr,,v- ['WAU <br />