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NOTICE OF RESTRICTION OF USE
<br />and Notice of Right to Appeal
<br />..
<br />DATE . ....... . C --------_::r. . . . . ............ ............................................................... . . . . .
<br />ASU,��
<br />--------- ---
<br />i..O('A,rl()N (PAR.K.J(PEN SP,NCE)�
<br />. . . . .. .. .. .. ................... . . - ---- . .... . . . . . . . . . ................................. . ...................... . _-- -- -------------------
<br />. . ..............
<br />Nanie: La,,,t First Middle Data:
<br />V"Uu"�
<br />YIj
<br />Res- Address: Sta(e Zip Rftn
<br />es, Phone: wodc ve.
<br />rE I.-,,
<br />Under the authority, ofAdministrative Order No. 58-03-24-Fand Park and Open Space Rule R-1.005(3), you are hereby
<br />notified that you are proshibited from (check box):
<br />Entering in or using all City of Eugene parks, open spaces or facilities..
<br />. ....................................... . . ..... . . .......................... .............. . .......................... . ................................ . . . . . . . . . . . . . . . ... . ............. . . ...
<br />Thbasis asis for this Notice of Restriction of Use is that on I I L -LL P a r,
<br />�.v you violated Sectioin --------- — - - - - - - ---------------------
<br />and Open Space Rules, and./or Section - . . ........... . . . . . . . . --.. of" the Eugene Code, 197 I'und/or OWS kA 1� To wit, yoil-r- - ......... . .
<br />(Description ofthe violation.)
<br />. .. . ......
<br />This restriction of use is effective beginning on , and shall remain in effect mil.......0V;
<br />ll'you enter in or rise any City of Fugene park,, open space or facility during the effective pe,6od of this Isloticie, you rnay be
<br />arrested arid charged with criminal trespass in the second degree,
<br />Pursuant to Park, and OPCTI Space Rule R-1.074 you are entitlecl to an informal hearing to coritesill, this ?,4otice, Arequestfor .an
<br />itif6mial hearing must he made in writing and filed. with the Marks & Open Space Division Director (--the Division fP.fireenn.")
<br />within 48 hours (exclusive of'weekcrids) ofreceipt ofthis Notice at tire fifflowing address: 1820 Roosevelt, Blvd., Eug"ie, OR
<br />97402.
<br />The Division Direcfor shall schedule as time and place fOr the informal hearing to be &n,.Priducted, which shiall be not inore th,,an
<br />72 hours (exclusive ofiveekends), of receipt cif the request for hearing. At the filt,'OTTMI hearing the [)ivision Direcwr wd I only
<br />consider testimoriy frorn you., City persorincl involved in the incident that resulted in this Notice, and rather witrwss,,,,s 110 the
<br />incident. The Division Director may cxcIlude anyone, other than you and those pro, seTaing, testirriony, Frorn the infurmal hicaringr.
<br />This Notice shall remain in effect pending any requested hearing.
<br />'rhis Notice of'Exchision was delivered to the person narned at the top of this Notice at the date and time shown lby:
<br />...... ............. . . . . .................... . . ...... .
<br />(Signature of pcison issuing./dieliviering notice)
<br />I herebY acknowledge receipt ut'the above Notice on the date and time indicated abovic,
<br />(Siginature M'person issued ffie ricAi1r,:1e0
<br />WhUe Copy Pubfic VVL",ks Green IL-'(,)[ry: He 1uVum, L'opy: Rvpofl ( al',wy NA ( opyRmplent (.kdd ( vqpy(.A'KCcg ipy?&^A lowe OJAK'3
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