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NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATE: TIME: I I& CASF:# <br />--- . . . . . ...... . <br />t-OCATION (!?Af�.K/OPEN SPACE): <br />_. &6T <br />. ............ . <br />Under the authority of Administrative Order No. 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 />V-- Entering in or using all City of Eugene, parks, open spaces or facilities. <br />H <br />The basis for this Notice of'Restriction, of Use is that on <br />C) <br />you violated Section <br />of the Park <br />and Open Space Rules, and/or Section.-----..,.,- of the <br />Eugene Code, <br />1971, aTId/or ORN <br />To wit, yow <br />7 j <br />. . . ........ . . . . ..... . ..... --- . . . . ........ <br />(Descriptiors of the violation.) <br />This restriction or use is effective beginning on 6-7, <br />and shall remain in effect until <br />If you enter in or use any City of Eugene park, open space or facility during the effective period of this Notie,,:e, you rmay be <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 toan inl'ormal hearing to contest this Notice. Arequesiffir,,an <br />informal hearing must be made in writing and filed with the Parks & Open Space Division Dii,ector ("the Division Direictioe"l <br />within 48 hours (exclusive ol'weekendsl) ofreceipt of this Notice at the, ('611owing address:: 1820 Roosevelt, Blvd., Eugeine, OR <br />97402. <br />T'he Division Director shall schedule a time and place liar the informal hearing to be conducted, which shall be not more than <br />72 hours (exclusive ofweekends) of receipt of the request for hearing. At the Informal hearing the Division Director wd� only <br />consider testimony frown you, City personnel involved in the incident that resulted in this Notice, and other witnesses lothe <br />incident. The Division Director may exclude anyone, other than you and those presenting testirnorry, ffi.)rn the infimmal hewing. <br />'I` is Notice shall remain in effect pending any requested hearing. <br />'rhis Notice of" Exc lu s � on was delivered to the person named at the top of this N the date arid lime shcwvrk abovieby: <br />C e � ... A �nr, , <br />I hereby acknowledge receipt of the above Notice on the date and time <br />of person issuing/delivering notice) <br />above, <br />.. .. . . . . .................. ................ . . <br />(signature of'person being ussucd the notice) <br />White Cupy: Puhlic Works Gveen Cf..ppy, HIc Ydkmv (.'upyRepun Copy Pigil.;, (.).1.7RoJpent 04"Ad Copy: OfficerAprx"'d n0ice" R�,-v t),FflC <br />