I <br />NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />2, <br />,,, . ............ . . . . . ............ I..--- - ------------ . ........... . ......... . . . . . ...... . . . ........... <br />LOCKTION i(PARKJOPEN SPACE):.-Alhs/#/J6 - 72 F -- <br />. . ......... . <br />N Lwl First Middle d5s�(n �1, Race/' <br />z <br />Re T�S,: city State Zip Res, 11hone: Work Phone: <br />CAJ -r <br />Under the authority of Administrative Order No. 58-03-24--F and Park and Open Space Rule R-1.005(3), <br />you are hereby <br />notified that you are prohibited from (check box): <br />-,-Av <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />70 <br />The basis for this Notice of.Restriction of tJse is that on (2) p ,of'the Park <br />-------- -- <br />and Open Space Rules, arid/or Section A7 the Eugene Code, 1 971 w and/OR <br />or S <br />To wit, Ylow <br />-C .......................... . . ..... ............................. . . . . . . . . . . . . ..... . ....................................... . ...... . <br />(Description of the violation.) <br />This restriction or use is effective, beginning on nd shall remain in, effect until -A) <br />If you enter in or use any City of Eugene park, open space or facility during the effective period ofithis Notice, you may be <br />arrested and charged with criminal trespass in the second degree. <br />Pun;w.int to Park and Open Space.Rule R-1.074 you are entitled to an informal hearing to contest this Notice, A. rirquie�,o foran <br />info nnHI hearing, rriust be Tnade in writing arid filed with the Parks & Open Space Division Dircct(..-)r ( `the Division 131rc;:ctir.)r <br />within 48 hours (exclusive of weekends') of receipt of this Notice at the following address: 1820 Roosevelt, Rlvd,,, Eugene., OR <br />97402. <br />The Division Director shall schedule a lirne and place for the infiormal 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 infortnal hearing the Division [Xrector will only <br />consider testimony t.rom you, ("ity peirsoruiLl involved in the incident that resulted in this Notice -*�-6'ffi&r,witnesse.s to the, <br />incident. The Division Director may exclude anyone, other than you u-nd those presenting tesAi�only',, fro nkirrvial hearing. <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of Exclusion was delivered to the person narnedat the top of hownahoviob,y: <br />c4person i,,,%uing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and tirne indicated above. <br />.. ........... lee rev <br />— — . . ................................ . ................. . . . <br />(Signature (,,&pen°mori Ibeitnl the notice) <br />Wh i k! Co py � Pub] w Wr,.)r k rr, Gn�en C'rr�jpy� Flk� Y4�,How CqRr Re -port Corw Flnnlk C. Re,,ApjenL GrAd rr.'opy� (3flkn- Appckip no6k:v [Prx", <br />