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NOTICE OF RES'TRICTIONOU"[JSP <br />and Notice of Right to Appeal <br />DATL bl 5, jf,5 . . .. ...................................................... . . .... — TIME� It 217.0 ............................................... . ........ CASE 4� A bc <br />A................ .. ............... . . . . . . . . . . . . . --- -i <br />LOCON [-�W <br />,ATI(PARK/OPEN SPA( - - ): --------- ---- <br />Name� L ryfiddle DOB: Rao, - <br />z <br />'a, P 'Drk llhone: <br />,ay zi Res, Phonc: Wc. <br />Res. Add C st, <br />LI <br />linder the authority of Administrative Order No. 58-03-24-Fand Park and Open Space Rule H-1.005(3), you are hereby <br />notified thatyou are prohibited from (check box): <br />><' Entering in or using HII City of Eugene parks, open sipaces or facilities. <br />0 . ........ . ............................................................................................................................................... . . . . . ............................ ....... . ....... . . . ......... . ...... -. <br />The basis for this t4ofice of'Restriction �of Use is tbat on L violated Section 7, o"I 7 ofthe.11ark <br />....................... . . . . . . . . <br />Bnd Open Space Rules, and/or Section -- — ------- - - of th e Eu ge�ne Code, 1. 97 1, and/or OR S 1, TO wit, ... ....... . .. ....... <br />0rPC,-WI-r (,0 T .A.jk.m -C, V-(�', 0 11 <br />ti.._ ...................................... . ....................................... ........... :!!!t .. ................................................................................................... <br />(Description of the violation.) <br />This restriction of use is effective beginning oay and shall remain in effect until <br />IV—j ----------- <br />Ifyou enter in or use any City ofELIgene park, open space or frr�Cihty dUring the effrictive period ofthis Notice, yuu rnay be <br />arycsted and charged with criminal trespass in the second degree. <br />Pursuant to Park and Open -Space Rule R-1.074 you are entitled to an informal licaring to contcst this Notice. A request 1.76j. - an <br />informal hearing must: be made in writing and riled with the. Parks & Open Space Division Directur ("thie Division 113irector") <br />within 48 hours (exclusive of weekends) of"receipt ofthis Notice at the following address: 1820 Roosevelt, Blvd., Eugene, 01-1 <br />97402. <br />'The Division Directo rshall schedule as time and place for the informal hearing to be conducted,, which shall he not, iniore than <br />72 hours (exclusive of'weekends) of receipt of the request fbr hearing. At the informal hearing the Div ts ion Direetor will only, <br />consider testirnony, firorn you, City personnel involved in. the incidcrtt that resulted in this Notice., and other witnesses ten the <br />incident. The Division Director may exclude anyone., other dian. you and those presenting tiestiknony, froin the inforrnal 4caring, <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 of this Notice ant ifw date',Xnd timir shf,nvn abovi� by; <br />53 <br />. . .................................. . ...................................... .. .. .. .. ... . . . . . .. <br />(Signature ofperxon issuing/delivering noficir,) <br />I hereby acknowledge rec6pt ol'the above Notice on the date and time indicated above, <br />. ................................................ <br />(Signature ofpersoin being issuied the noti1cc) <br />'Nhhe Uopyt Public Work,, (.9 � Ctff I C I IF.! Yelloov 6 " "q)ykepml Copy Pink Uani y: Rvcipivw UcAd (..'Aipy.: Officer Appeal inkp6rrc Rrry(M'03 <br />