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N 'CE OF RESTRICTION OF USE A <br />OTT 5�vA <br />and Notice of Right to Appeal <br />IS - <br />DATE: 3',80 TM-11'� J 6 CASE <br />46 - 10 <br />. . ........ . .. .. ............... I ........................... . . . . . ----------------.... . ..................... . .. . . ............................. . . . . . . ......... . . . <br />-- - --------------- <br />E)� & - r <br />LOCATION (PARKAVEN SPAC <br />Name: Last%First Z4�iddle D(? 1Qb It as ;71 - .0 <br />P -A <br />Res. Addr"s-1 City State zip Res. Phu nc: WOrk Pblile: <br />Under the authority of Administrative Order No. 5a 403424 -Fan Park and Open Space Rule R-1.005(3), you are hereby <br />notified that you are prohibited from (check box): <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />0 . . ....... ---- ... ..... ................... . ............. --- - — — - - ------- ------- <br />The basis ffir this Notice of Restrictiori of Use is that on 77461 't S you violated Section c.r)f the Park <br />and Open Spao� Rules, arid/or Section of the Eugene Code, 1971, an ORS To wit, <br />. . ............................ <br />(Description of the violation.) <br />This restriction of use is effective beginning on 5 ..................... . , and shall remain in effect until*3, <br />if you enter in or use any City ofEugene park, open space or facility during the ef:fd ctive period ofthis Notice, you inuy be <br />arrested and charged with criminal trespass in the sec(.:)nd degree. <br />Pursuant to Park and Open Space Rule.R 1 .074 you are entitled to an informal hearing to contest this Notice. A request :k)r an <br />infonnal hearing must be made in writing and filed with the ["arks & Open Space Division Dirccu,.)r ('1be Division Dircetor-) <br />within 48 hours i(exc h.is ive of weekends) of'receipt o f this Notice at the 16 [low ing address: 1820 Roosevelt, Blvd., Eugene., OR <br />97402. <br />The Division DINCtOr shall schedule as time and place for the infori-rial hearing to be conducted, which shall be no;i triore tivan <br />72 he (exclusive of'weekends) of receipt of the request for hearin.g. At the informal hearing the Division Director will only <br />consider testimony fr(,nn you, City personnel. involved in the incident that resulted in this plastica,, and other witnesses to the <br />incident. The Division Director may, exclude anyone, other than you and those presentin,�..!, testirriony, from the in formed hica ring. <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of Exclusion was delivered to the person narned at the top ulf tilds Notice at the date and time s1tuiwn abcPvi,,,- by� <br />M <br />2 79 <br />(Signature of'person issuing/d; efiveringnouce,) <br />I hereby acknowledge receipt of the above Notice on the date and time indicatedabove, <br />S7r <br />1.1.� ....... . . ............. . ................................ , .. d ............................................... . . . . . ................................. . . . . <br />... .... ......................... <br />(Signature of person bleing, issued the no14:c i <br />Wh I W. Ct vpy: P ub i w Works Grkmirf..'opy: IFfl, Yellow C,opy: Report COPY Pink ( opyRecipiew Gold is'iopyiOffictr Apj[w-al nuurr�m„ kvv, IM1103 <br />