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NOTICE OF RESTRICTION OF LISE <br />and Notice of Right to Appeal <br />'011 <br />............. <br />................. ... ..... <br />DATE rIME: _1011 .... . ...... 2.t� LL <br />L(JCATION (PARK/01i'EN SPACF1')------- <br />...... . . . ................................................................. .. . . . . . <br />. . . .................. -------------- <br />N-r r I aSt I n." t Middle DOM Race/S <br />P A I <br />1C . ......... ....... - -- - ----------- - ---- - - <br />Res. Achlress: city State Phic"le: <br />. . ................. <br />Linder theauthoritY OF a:Park of Administrative rder No. 58-03-24-nd Pk and Open SR- <br />pace Rule 8-1.00 (3), you are herithy <br />notirt"I that you are prohibited from (check box) - <br />'k, Entering in or using all City of Eugene parks, open spaces or facilities. <br />0 . ................. .............. —.1- . ............................................ . ........... . .............................. . ......... . ----------- <br />11-w basis for this Notice of Restriction ofUse is that on 6---, - -- -- --- , you violated Section Ij- eY(d If thle park <br />and Open Space IR u les, and/or Seefion " , of the Eugene Code, 197 11, and/or ORS . . . .......................... 'To wit, ycH'._...w. <br />(Description ofthe violation.) <br />This restriction of use is effective beginning onand shall remain in effect until 05r (2 <br />Ifyou enter in or USC any, City, of'Eugene park, open space or facility during the cffcfive period of this M.6ce, you may the <br />UtTC,StLd and charged with criminal trespass in the second degree, <br />Pursuant to Park and Open Space Rule R-1. 74 you are entitled to an informal hearing to contest this NI A requIc,,st for an <br />informal hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Dineicibar") <br />within 49 houn, (exchisive of weekends) of receipt ofthis Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />'The Division Director shall schedule a time and place For the informal hearing to be conducted, which shall [,,)e not more than <br />72 hours (exclusive of weekends) of receipt ofthe request for hearing. At the inforinal hearing flic Division Director viffl only <br />consider testimony from.you, ("ity personnel involved in the incident that resulted in this Notice„ and other witness .a to thit., <br />incident, The Division Director may exclude anyone, other than you and those presenting testirriony, from the inforrnal <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of xclusk,)n was delivered to the person named at the top of this N o rid firrhe shoe 'n above 1:)Y: <br />I hereby aLicknowledge receipt of." tl-ie above Notice on the date and time ind <br />ofpIerson issuing.,/defivering no6ce) <br />. . . .............. . .............................. .. . . . . <br />gn!ure of fi6i`son being issued the not ciep <br />Wha,r: Cojpy. Pubkc Wmk GroLvn Copy: 4FdkY ,,fl lo w C,"q7y Repon, Corry Pink C'cjrp GurtUff',,,-, App rel wrwe 1k," 01W(0 <br />