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NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />-,C <br />DATE :V "s 'l -IME: Z�Z-1 0 CASE Vii, Z4 s <br />-t- <br />- ---- - .......... . . ....................... .. .. . . . . <br />LOCATiON (PARK/OPF'N SPACE): <br />Naniq., LamFirst Middle ET f.3 0 U SX <br />> <br />Res- Address: city Slate Zip Rir-s. Phcmc: Work Phone: <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1 .00 5(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 />El <br />JCA C�l <br />'The basis for this Notice of Restriction or Use is that on violated Section .2 of the Park <br />............. . . . . . -1-1 <br />and [:.-)pert Space.Rules, and/or Section of the <br />( I 'To wit, yow: <br />, ode, 197 1, and/or ORS <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall rem ain in effect until <br />If you enter in or use any ity of Eugene park, open space or facility during the effective period of this Notice, you inay he <br />arrested and charged with criminal trespass in the second degree. <br />Pursuant to, Park and Open Space R ule R.-1,074 you are entitled to an in fimnal licaring to contest thi,,,-; Notice. A req uest lean all <br />inforinal hearing niust be made in viriting and filed with the Parks & Open Space Division Director ("'the DivisionDireictior") <br />within 48 hours (exclusive of"weekends) of receipt of this Notice at the following address 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Director shall schedule an time and place for the infon nal hearing to be conducted, which shall Ile not more than <br />72 hours (exclusive of weekends) of receipt of the request for hearing, At the inforynal hearing the Division Director will only <br />consider testimony fnwn you, City personnel involved in the incident that resulted in this Notice, and offier witnesses to thr <br />incident. The Division L)irectoir may exclude anyone, other than you and those presenting testimony, 'from the infi)rrnal hicaring, <br />This Notice shall remain in effect pending any reel exited hearing. <br />`This Notice ofExCILNion was delivered to the person named at the top ofthis ' . � at <br />hown abVve bY: <br />(Signature ol"person issum<Q10hV6�N notice) <br />I hereby acknowledge re:ceipt of the above Notice on the date and time indicated above. <br />�'z <br />I gra ", U r e o s s u c -d- tf 1-c- no t i c 10 <br />vVh tc (opy; PubfiWofl,,s Chreerl (..:,ropY! Ffle Yq'Hom, Culjpy. Reporl Copy Nnk Copy: fkecipwna Gold Copy�: Cffficer Appeal nolice RP+03 <br />