NancE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATE TIME -S C/-kSE ft" <br />. . .... ..... . . .......... . . . . ......... . . . . . . ........................ . . . <br />LOC'ATION (PAR.KJOHN SPACa <br />... ............. . .. . ... .. . ...... <br />. . . . . ................................... <br />LNku, MiMc DOB: q "aCC/sc <br />X <br />Z-3 I�T op <br />L <br />C Zip Re-& Phone- Work Phisnc�, <br />R <br />U n d er tine a uthority ol'Administrative Order No. 58-03-24-F a nd Park and Open Space Rule R-1.005( ), you are hereby <br />notified that you are prohibited from check box: <br />El <br />The basis for this Notice of'Restriction of Use is that on f the Park <br />............... . .......... <br />.. .... ..... you Violiated Section kmuO <br />and Open Space Rules,and/or Sectionof the Eugene Codp, ,,1971and/or (.).R,.S 11 To wit, y0LV---—, <br />1 11 .............. — A . I . . ................ . .................. <br />5 <br />f,Description ofthe violafionj <br />This restriction of use is effective beginning on and shall remain in effect until LI <br />I F y ou enter in ear use any C ity oi f Eugene park, open space or facility durin g the efli ctive peiri od ofthis N oticc,,, you r nay be <br />arrested and charged with criminal trespass in the second dcgree , <br />Pursuant to Park and Open Space Rule R- 1 D74 you are entided to an inforr-nal heaYing to contest this Notice. A request fZ.)r an <br />infornial hearing aiust be niade iron writing, and filed with the Parks & Open Space Division Dirceto.)r ("the I.Jivi,,;ioni ilia, r..Jor <br />within 48 hours (exclusive pf'weekends) of'receipt ofthis Notice at the fbIlowing addrew 1820 Roosevelt, Blvd, Eugene, OR <br />97402. <br />The Division Dircctov shall schudule as time and plane .four the nifinTnal hearing to be conducted, which shall be not rnore than <br />72 hours, (exclusive oaf weekends) of receipt of the request I'or hearing,, At the infori-nal hearing the Division Director will only <br />consider testimony frovyi. you, City perS01111111el iinvolved in the incident th,,at resulted in this Notice, and other witfle,".tns, to tiva <br />inciderit. The Divi,,;iion Directf.:)r may exciude anyone, other than you and those presenting testuriony, fi-orn ffic inibrrnM hiearking, <br />This Notice sbail remain in, effect pending any requested hearing. <br />This Notice of'Exclusion was delivered to the person narnedat the top ofthis Notice at tkI"(,.91cand t .. irne Sfj,O%A+r n above by: <br />.. . . . ............. . . . .. .................................... . . r .. . ..................................... . ...... . . <br />(Siignature of person issuing delivering rtotico <br />I hereby aclax)w le dge rir,,,ucipt orf the above Notice on the date and tkne indicate(J above. <br />(Signature of ptrr,-son bein.? i,,;sued the nofice) <br />V,%'i�re (r p,y`: pLjMRC GrcQn is:'opy: Hke N't'.W"n pkepcxl (:orr, Pink, L,opy: Recipient (ijj,j,j jr:',�Pt ! iC)rfi,,,j '�ppe'ljjj JJRf� r I <br />[.�k. Hrew, QVOI <br />