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Y'S> <br />NOTICE OF RES"URICTION OFUSE <br />and Notice of Right to Appeal <br />DA'FE JIME: CA SE /-s <br />_Ak I .............................. . . . . . . . . . . . . . ................. ... <br />WCAT ION (PARKJOPEN SVAC"'): r .............. . . . .. . .. k- ....... ... ......... ... <br />Under the authority of AArninistrative Order No. 5H -03-24-F and Park and Open Space Rule R-1.005(3)4 you are hereby <br />notified that you are prohibited from (check box)l- <br />A/ Entering in or using all City of Eugene parks, open spaces or facilities. <br />The basis for this Notice r,.A'Restriction of Use is that on You violated Sccfimn q_A*j1hc Park <br />J <br />and Open Space Rules, andior Section 1/11W-7ofthe Eugene Code, 1971,andJorORS 1" o kv,-If, Y o1w <br />...... ...... . . ............................... . . . .......... . . ' <br />.......... ....... . ............ ......... ......................... MI -I -X, <br />(Description of the violation.)i <br />This restriction. of use is effective beginning on and shall remain in effect until. . . . ... .......... <br />Ifyou enter in or use any City of Eugene park, open space or facility during the effective period of this Notice, you. may 1is <br />arrested and charged with crin'linal trespass in the second degree. <br />Pursuant to Park- and Open Space Rule R- 1,074 you are entitled to an infcornnal hearing to contest ffih; Nt,)fice, A request Fox ari <br />inffinnal hearing must be made in writing and filed with the Parks & Open Space Division Di rector ("the Division Director-) <br />within. 49 hours (exclusive ot"weekionds) ofreceipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division, Director shall scbechile a lime and place for the infbi-mal hearing to be conducted, which shafl be not irrnrarie than <br />72 hours (exclusive ofweekends) of'receipt of the request (or hearing. At the in(briiial hearing the Division Director N&W only <br />consider testimony ftorri you., ( ' .'ity personnel involved in the incident that resulted in this Nofiele, and other wrtnessir.�; to 1 i <br />incident, The Division. Director may exclude anyone, other than you and those presenting lestirriony, firorn thic irflbrrnal he�arin),?a, <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of Exciusion was delivered to the person named at the top of this Notice at th tie and turie s -)vri ah�a)ve hv: <br />.. . . . .................... . . ................ . .. ... .. . . .......................... ...................... . .... <br />., <br />ure of'per,,0T11 iSNUJr11.!/de iVerinnollec) <br />I herchy acknowledge recicipt of the above Notice ori the dateand time indicated above. <br />(Signature f,.Apersori befing issuicid the <br />whttc Copy, Pubfic worhs Groen Copy! Filc N'rrlh)vv Copy, Hepon Copy Paik Cupy, Recipieni (Alcilk:1 Ccyy!Dffiurur AIppcod no:1it,V k'cv, ir-,VIVY <br />