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LV <br />NO"FICE OF RESTRIC"TION OF USE <br />and Notice of Right to Appeal <br />�A M -5­ <br />DATE. T I M l: ­,'; CASE <br />1 JL7�- <br />. . . . ........ . ............. . <br />A <br />LOCATiON (PARK/OPFN SIIA(1) <br />Undcar the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005(3).,you are hereby <br />roti ed that you are prohibited frorn (check box): <br />Entering in or using all City of Eugene parks, open spaces or facilities, <br />The basis for this Notice of ReStTiction of Use yoia, viOated Section o f I hePark.i <br />� <br />apq Open Space Rules, aind/or Section of the E gene Code, 197 1, und/or OR ro wit, you�:, <br />(Descriptit)n of the, vioWion.) <br />This restriction of use is effective beginning on antis all reinain in effect until <br />If you enter in or use any City of Eugene park, open space or facility during the effective period ofthis Nodee, you fmay i:ae, <br />arrested and charged with criminal trespass in the second degree. <br />Pursuant to Pa6-, and Open Space Rule R-1.074 you are entitled to an informal hearing to contest this Notice,, A, request for an <br />inf'ornnal hearing must be made in writing and filed with the Parks &- Open Space Division Director ("the Division Director-) <br />within 48 hours (exclusive ol"weekends,) ofreceipt of this Notice at the following address: 1820 Roosevelt, Blvd, Eugene, OR <br />97401 <br />The Division Director shall schedule a time and place for the inforinal hear-ing to be conducted, which shall be not moire than <br />72 hours (exclusive ofweckcnds) of receipt ofthe request f6r hearing. At the informal hearing the Division Director will Only <br />consider testimony fromi you, City personnel involved. in the incident that resulted in this Notice, and other witnesses ti:a the <br />incident, The Division Di rector may exclude anyone, (.&ier than you and those presenting testirriony., ftoKu the �nfbrrnal hiearingy, <br />This Notice shall remain in effect pending any requested hearing. <br />11� - - - — - - - - --- - <br />This Noiice of ExclUSk)n was delivered to the person narried at the top of this Notice4it theove by: <br />Z: <br />. ... ..... . <br />. . . . . I , n <br />.. . . .. . ... <br />aturo of person ssuing/deliver ng noLice� <br />i hereby acknowledge receipt of the above Notlec on the date and brae indicated above. <br />r <br />..... . ..... . <br />lure of person being issucd the noticic) <br />Whiw (.'c,py: PuNk: Workq Gn.,oN ()opy: He Yi-Ahrm Cupy� R��,Porl COPY Pink Copy: Redpicnr Gold CopyOfficcr Appeal notice fUv. 04/03 <br />