No,ricE OFRESTRICTION OF USE Ib 0� <br />and Notice of Right to Appeal <br />DAT C) TI rME: <br />I ............... . . . ... . . . ........ . . . ................. . . ........... .... ............. . Q . ...... . . . . . .......................... .. .. . . . . . <br />U,'.)CATION (PARK/101"T,'N S'P,A,C'E): ooj 41-L I'm <br />...... . . . . . . ..... ........... . . . . . . . . . ................. . I . . . .. .................................. . .......... . .. . . . . . . . . . ......... I ................................ .. . . . . - - ----- <br />Naine: Last First. Middle D013l6c.c/Skn: <br />A ap r�,2 /0 a3 <br />Res, Adidre,,,,s: c1tv State Zip Res� Phoinea ork, Plu.me: <br />Linder the authority of Administrative Order Inc,. 58-03-24-F and Park and Open Space Rule R-1.005(3), you are hereby <br />notified that you are prohibited from (check box)- <br />.................... . ... .. . ....... . ...................... . . . . ............................................................................... . .. . ........ .......... <br />,td-,�r <br />TN <br />he basis for this otice o f Resuiction of. .Tse is that oil u yoviolated. Section Ples o , ' Of the Park <br />.... . ............................. <br />,and Open Space Rules, and/(.)r Section, - - of the Eugene Code, 1971, andhr,�r ORS . TO, wit, You <br />62I)n - - I., .... . .................................................... <br />r PP0 t, <br />......................... . .. . <br />(Description of the violation.) <br />1-7 <br />This restriction of use is effective beginning on _OaLL-7jS-1 and shall remain in effect until t1b -05---. <br />I fyou enter in or use any ( , 'ity uac <br />of Eu park,., open :pace or hacility (luring the effective pleriod of this Notice, you inay be <br />arrested and charged with crit-nnial trespass in the second degree. <br />pursuant to Park and Open Space Rule R -t.074 you are entitled to an informal hearing to cowir,.rnsa this Notice, A, request for an <br />infonnal hearing must be made in writing and filed with the Parks & Open Space Division Director Division purr ictor") <br />within 48 hours (exchisive olf'weekends) of receipt of this Notice at the following address1820 Roosevelt, Blvd.., Eugene, OR <br />97402. <br />The Division Director .shall sushi dWe a time and place for the inl'onrial hearing to be conducted, which shall he riot inoile than <br />72 hours (exclusive of weekends) of receipt ofthe request for hearing, At the informal hearing the Division Director will only <br />consider testimony frorn you, City personnel involved in the incident that resulted in this Notice., and other witnesses to 6iie <br />incident. 'rhe Division Director may exclude anyone,, other than you and those preseming testimony., frorn the infbrnial hearin,g,, <br />This Noticeshall remain in effect pending any, requested hearing, <br />This Notice of'Exchision was delivered to the person named at the top of this Notice at the date and time shown aboviibY: <br />............... . ..... ........ .. . . . . <br />(Signature colt person is, uing/defivering u,ioticie',l <br />I hereby acknowledge receipt of the above Notice on the date and titne, indicated above. <br />(Signature of'person being issued thic notic,0 <br />Wh i W ( 4 1 r�w PILPIA w W '? I ks Gruwrl CippyFile YeHow Copy'RcpxlIC ;Ipy Pink Copy Recipiml. Gold (.bpy� (Allcor Appen] urrakuv Rrr'[,-VrrW/Orr, <br />