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<br />NOTICE OF RESTRICTIONOF USE
<br />a nd N otice of Right to Appeal
<br />DATE: d TIME: I <-HY CASE P: S—
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<br />LOCATION (PARK/OPEN SPACfl� u6jAjri4L 51 cio-Trz PA44A,
<br />. ............ . . . . . . . . . . . . ..................................... . . . .. ...................................................................... . .
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<br />Natne: Last Hrs'l Middle DOB: Race/sev:
<br />Zip Kes. Phone: Work Phona:
<br />Res.. Addre,,,s: City State
<br />Io -1 -
<br />Under the authority of Administrative Order No. 58-03-24-Fand Park and Open Space Rule I1 -1.005(3), you are hereby
<br />notified that you are prohibited from (check box).�
<br />5k Entering in or using all City of Eugene parks, open spaces or facilities,
<br />0 .................... . ............... ................... .............. ........ ...... ..
<br />The basis for this Notice of Restriction of Use is that on Ofcy ES,- 'Yol-I violated Section I - U 10 ofthe Parl,(L
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<br />and Open Space Rules, and/or Section '-I L'fu . 7-- o fthe Eugene ("ode, 1971, and/or ORS . . . . . . . .......................................... . . Tu��
<br />o wit, your . .... ........---
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<br />C01W1`.Sr . -��-..!!�A. .� ......
<br />(Description of the violation,)
<br />This restriction of use is effvTtivc, beginning on c5o'?,13' and shall remain in effect until 0 bUX
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<br />If you enter in or use any t--'ity of Eugene park, open space or facility during the effective period of this lNotice, you may be
<br />arrested and charged with criminal tres
<br />pass in the second degree.
<br />Pursuant to Park and Open Space Rule R- 1.074 you are entitled to art informal hearing to contest, this Notice, A. requiest for an
<br />informal hearing trust be made in writing and filed with the Parks & Open Space Division Directot, ('11iie Division Director)
<br />within 49 hours, $exclusive of weekends) of receipt ofthis Notice at the following addrcss: 1820 Roosevelt, Blvd., F,',ugeroe, OR
<br />97402.
<br />The Division Director shall schedule a time and place for the informal hear frig, to be conducted, which shall be not more than
<br />72 hours (exclusivr of'weekends) of receipt of the request for hearing. At the infi.)rmal hearing 11he Division DireCtOT Will Only
<br />consider testimony front you, City personnel involved in the incident that resulted in this Notice, and other witnesses to thel
<br />incident. The Division Director rnay exclude anyone, other than you and those presenting tc%timony, fi-orn the informal ht.^aring,
<br />This Notice shall remain in effect pending any requested hearing.
<br />This No�tice of Exclusk-m was delivered to the person named at the top ofthis Notice at the date and tirne shown abovie l.)y:
<br />C -4 e !&
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<br />(,Signaturie of"person isstsing/delivering no6cle)
<br />I hereby acknowledge r(x-eipt of the above Notice (in the date arid time indicated abovc,
<br />V �"A o L� 0—
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<br />(Signaturr ckfperson beir�,g i�,rmxeid 1he 1C'V1rPtice)
<br />Whjdv i, opy: Pubhc Works (Jrucn Ffl,,.- Y6knv Copy Repari Copy Pijl�Copy,- kf,6pitmb ('old CuWly! Officet^ Appe-a I nolice nor 1-H A) 3
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