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30 NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATE: TIME: 3 CASF.�, <br />. . ...................................... .. .. . . . .............. I .... . . ...... . ....... . . ........... <br />LOCATION (PARKJOPF.N SPACE):I . e-1 I T--. A- i(It " <br />M, <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 />no if that you are prohibited from (check, box) - <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />...... . ........ --- . . . . ........ . . —.- ........................................ . . ........ . . . ..................... I ............... . .. .... ..... ..... <br />The basis for this Notice of Restriction oftlse is that on J1 you violated Section, r .. .......................... . . . . ...... .. - of" the flarl,�. <br />and Open Space Rules, and/or Section qL00 -- of the Eugene Code, 1 �97 L, and/or OR.S ............... ........ —1, To wit., ycw� <br />— Y ,� i, �-- C. c, .f �, - a. - C'. � .: ,�"' � - f <br />(Description ofthe violation,) <br />and shall remain in effect until %I "I <br />This restriction of use is effective beginning on .......... OILL I . ..... . .... X-11,11-111, <br />If yogi enter in Or USC any 'City Of Eugene park, open space or facility during the effective perk,.A of this Nofice% you may bic <br />arrested and charged with crinkinal trespass in the second degree. <br />Pursuant to Park and 0pen Space Rule R-1.074 you are entitled to an inf6n-nal hearing to contest this Notice�. A, req�.jest firx- pan <br />informal bearing must be made in writing and fl led with the Parks & Open Space Division Director ("' the l.Avisilon Directior-) <br />within 48 hours (exchisive of weekends) ofreceipt ofthis Notice at the 11ollowing addres&: 1820 Roosevelt, Blvd, Eugene, OR <br />87402. <br />The Division Diro.�tor shall schedule a titue and place fiw the infim-nal hearing to be conducted, wl-dch shall be rrot more, than <br />72 hours (exclusive of'week ends) of receipt of the request for hearing. At the informal fim.tring the Divi -cion Director will only <br />consider testitnony firom ym, City personnel involved in the incident that resulted in this Notice, and other witnessers, U.) the <br />incident. The Division Diredor inay exclude anyone, other than you and those presentingy testimorty, irom the inl'br-nial hieaxin,p, <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of'Exclusion was defivered to the person named at the top of this Notice a he date and unie shown abovrr,� by: <br />.. ...................... .......... ..................... . ........................... . . <br />(Signi, u of1person issuing/defivcnag noticie) <br />pk <br />I hereby acknowleidgc..,, rieceipt of the above Notice on the datc, and tin ie indicated a 6)v e., <br />z <br />rkg issued the nonce) <br />Wrh)le ICliy Pubfic Woii,� FAu Ycilow Copy: Reppri Cu py Pink Copy: Rxc�tpienl Ckdd Culpy, 7Arflcm Appf'A rwfiroc Ror,v, 04M) <br />