NOTICE OF RES'l"RICTION OF USE
<br />and Notice of Right to Appeal
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<br />DAM: TIME: CASE:4,�: . ......
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<br />LOCATION (PARK/OPFN S'PAC'I"ya, le�
<br />.AL .1--l—I . .............................. . . . .. . ......................... . . . . I . . ............................ .. . .
<br />I.,Jnder the authority of Administrative Order No. 58-03-24 IF and Park and Open Space Rule R..1"005(3),you wiric herehy
<br />notified that you are prohibited from (check box):
<br />J4_ E ntering in or usin g all City o F E as gene parks, open spaces or facilities.
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<br />The basis ftw this Notice of'Restriction of Use is that onLey ofithic! Park
<br />,071 . .............. -, you viohited Sic; (,,ficu
<br />and (I)pen Space R ules, and/or Section of the Eugene Code, 197 1, and/or ORS r r . ................ To wit.,,YIDIE . . ......
<br />r/A
<br />(Description of the violation.)
<br />This restriction of use is effective beginning on ......... . . I and shall remain in effect until
<br />........ . ...
<br />If you enter in or use. any C11ty ofEagerie paark, open space or facility during the effective period ofthis, M.)fiice, you rnay be
<br />arrested and charged with criminal trespass in the second degree.
<br />Pursuant to Fark and Open Spw.,i.ce Rule R 1.074 you are entitled to, art inforrrial hearing to contest this Notice. il rreeluud st fcn-,,in
<br />inform,al hearing must be made in writing and filed with the IPaarks & Open Space Divkioni Director ('i Division Dircictiol"")
<br />within 48 hours (exclusive OfweckendO of receipt of this Notice at the following addrcss� 1820 Roosevelt, Blvd., Eugene, Oft
<br />97402.
<br />The Diviskm Director shall schedule as time and place for the irdon-nal hearing to be conducted., which shill be rt(.:)t more, Uian
<br />72 hours (exclusivic ofweekends) of" receipt of the request Cor hearirig, At the infonnal hearing the Division Dirc.etor wfll i 'y
<br />consider tieqrituony fforn you, ity personnel involved in the incident that riesufted in this Noticie, and. other wtrressic-s to th1c,
<br />incident. The Division Director rnay ex,clude anylone, other than you and those presenting testirniony, fi-orn the infbirma I hiearing.
<br />This, Notice shall remain in effect pending any requested hearing.
<br />"This Notice awl 'U'l(clusion m,,as delivered to the person narned at the top ofthis Nobciii. �tt ie dabe and fivirtic shown aN,�)vif,, t'ry�
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<br />(Signatur ofpersam �,s
<br />,.,suing/dehvc6ng e)
<br />-nWiic-X
<br />I Itereby acknciMe-idgle receipt, ofthe above Notice ain the (kile and time indicated abo vie,,
<br />(Signature of person being issued 01e e,)
<br />1i i Puhkv Wrjrky (avtn filc i Rcpuri ("Upy NO, (.'opy� Recipkm� i Copy: (Wficer,kppeal no6kv i � (J -1/0J
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