..................................... . . ...... . <br />DA'M <br />LOCATION (PARK/OPF"N SPACE): <br />NOTICE OF RESTRICT ION OF USE <br />and Notice or Right to Appeal <br />FIME: p < CASE ff� /,.,L5 . ...... - Zo <br />. . ..................................... --------------------- Of <br />U nder t1h e authority of Administrative Ord er No. 58-03,-24-F aro Park and Open Space Rule R- 1 .005(3), you a rc, hereby <br />notified that you are prohibited from (check. box): <br />YEntering in or using all City of Eugene parks, open spaces or facilities. <br />.......................................... . ......... .. . . . ..................... .................................................................................................................................. - ........ . ...... <br />The basis, for this Notice of Restriction of Use is that on '0711+fi -- <br />you violated Section 2. 1 r --w o�f the Narlr,. <br />................ . . ......................................... . . . - -------- <br />and Open Space Rules, andlor Section of the Eugen e ("ode, 197 L, and/or 0 R.S To wit, yola <br />KZ4 <br />. ........... <br />(Description ofthe violation,) <br />This restriction of use is effective beginning on and shall remain in effect....... <br />until <br />If you enter in or use any City offugene park, open space or facility during the effective period of this Notice, you may ble <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 inlbmial hearing to contest this Noitice. A request, f(,.)r an <br />inf6rmal hearing FuLlst be rnadc in writing and filed with the Parks & Open Space Division Director (` the .Division Director") <br />Within 48 hours (exclusive ol"weekends) of receipt of this, Notice at the following address- 1820 Roosevelt, Blvd.,Eugenel, OR <br />97402. <br />'The Division Director shall schedule a time and place for the informal hearing to be conducted, which shall be no more than <br />72 hot.irs (exclusive of weekends) ot'reccipt of the request for hearing. At the informal hearing the Divisi(,ni Director wdl only <br />consider testimony frorn you, City personnel involved in the incident that resulted in this Notice, aridother witnesses to the <br />incident. The Division DirecR-)r may exclude anyone, otherthan you and those presenting testimony, frorrr the informal hearing, <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of'Exclu,,ion was delivered to the person named at the top of this Notice at e an, lim as abovc� by: <br />.. ..................... . ---------- - ............. ... <br />(Signatureof per, bn Mswm., cliv rtl no(tcc) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />whac Gupy: PuNic Green (Ebpy: He Yeflow Copy! Rporl Copy Pink CopyRecipient G&I Ucqiy. App,.vi Renc 04PO.3 <br />