No,ricE OFRESTRICTION OF USE Ib 0�
<br />and Notice of Right to Appeal
<br />DAT C) TI rME:
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<br />U,'.)CATION (PARK/101"T,'N S'P,A,C'E): ooj 41-L I'm
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<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)-
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<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
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<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,
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<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:
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<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,
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