C d*� <br />NOTICE Of," RESTRICTION OFUSE, <br />and Notice of Right to Aplwal <br />'TIME:: CASE (k <br />DA,rE Z62,0 <br />.................. . ................. . . ............................... .. . . . . . . . ............... . . ....... . . . . .... . . <br />. .............. . . . . . <br />L,0CWrI0N t PA R K/0 PEN S P A( E) <br />Naive: Last First Middle 1) Ra, /S <br />4 <br />.Je <br />(2c s7z-) _nj ;2 <br />rw Res. Addrc, eCitv stat, Z_ Res, Pliioiriica Wort< Phoiw� <br />'D <br />c <br />s <br />Under the authority of. dmirnistrative Order No. 58-0;d,,,. 4-F an d Park a n d Open Space Rule R-1.005(3 , you areherell.PY <br />notified that you are prohibited from (check box): <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />'The basis f6r this Notice of'Restriction of Use is that on.11"I 1 you v iolated So�.A"��Jn r r ____ of the Park <br />and Open Space Rules, and/or Section 41.. " 0 (9 ofthe Eugene Code, 197 1, and/or ORS Yo wit" yow� <br />. .................. ... .e. <br />_T_ I <br />f -A [66 1 -j F,, <br />. ......... . ......................................... <br />(Description of the violation.) <br />is, restriction of use is effective beginning on and shall remain in effect untH <br />. . ............. ............................. . ... . . ..... <br />,If you enter in or use any City of Eugene park., open space or tacility during the effi,,-(Arvic period. ofthiis Notice, you may lt)ie <br />an,ested an(J charged with crituirial trespass in the second degree. <br />Pursuant to Park and Open Space Rule R4.074 you are entitled to an infionnal hearing to contest this Notice, A requ(st for an <br />isCormal hearing must be made in writing and filed with the Parks & Open Space Division Director i, "the Division Director") <br />within 48 hours (exclusive of weekends) of receipt of this Notice at the:661lowrng address1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />'fhe Division Director shall schedule a time and place for the m1cormal hearing to be, conductied, which shall be not more than <br />721 hours (exclusivL of weekends) of'ree cipt. of the request For heariyag. At the infornial hearing, Division Director wH1 only <br />cuinsider testiniony fi-orn you, (.1" ity personnel involved in the incident that resulted in this Notice, and oither witne"isers lirrrn 011c <br />ificident. 'The Division Director may exclude anyone, other than you and those presenting testimony, frorn the hiforrnal hican <br />`This Notice shall remain in effect pending any requested hearing. <br />This Notice of'ExcWsion was delivered to the person nay.ned at the top ofthis Nol_i, Wea, he date and7drneshown abovie by� <br />... ................... . ............ . . _A . . . . ............................................................................................................................................................................. <br />(S i gna ture art person issu i ng/de l i verin g na ii n ic,C) <br />I hereby acknowledge nNcipt of the abrwe Notice on the date and firne indicated ahove. <br />(Signature ofperson being ksu.ted the notice,) <br />Whiiie i opr Pubi w WorL� FLk, YdIo'dw C,*TpyRepmi Copy Pink C�i.q)y! Re6pLei,A GrAd Cot,Ey: Offwer Appeal nolwe P4v 0,013 <br />