NOTICE OFRESTRICTION OF USE <br />and Notice of Right to Appeal <br />1.5 - <br />DATE. TIME: CA S E 4 <br />LOCATIC)N (PARKA.)PFIN SPACE)� ... <br />..... .................................................. <br />CW uuuw: tit <br />HTSI 'uddlu. t76Y Raco/Ic'4 <br />1� Res, Address� st';fl 7 Work Phone: <br />City ItC_ ij 1�0� Res. Phone: <br />rz <br />Under the a u tho rity o f A din in istra tive Order No. 58-03-24-F a n d Pa rk a nd Open pace Rule R-1,00 ('3,), you mire hereby <br />notified that you are prohibited from (check, box): <br />A-- Entering in or using all C ity of Eugene parks, operas aaces or facilities. <br />... . .... . . . ...................... - — -- — ----------- - - <br />The basis for thus Notice oirRestricItion of Use is thiat on . . ................... .1youviolatedSection <br />and Open Space Rules, wid/or SectiOI14-4— --- of the Eugene Cbde, 197 1, an&or ORS To wit, yow ............ . . .. ........... . . <br />(Description of the violation.) <br />'rhis restriction of use is effective beginning on and sball remain in effect until <br />Ifyou enter in or use any ("ity of Eugene park, open space or fiacility during the effective pe6od cff'this Notice,, you n't;,ly be <br />arrested and charged with cxirmnal trcspass in the second degree. <br />Pursuant to Park and ( . )pen Space Rule R-1.07 yrou are entitled to, an infon-nal hearing to contest this Notice. A requiel for ail <br />informal hearing must be made in w6fing and filed with the Parks & Open Space Division Director ("the Division Dirl <br />within 48 hours (exc lusivir of'weekends) of'receipt ofthis Notice at the following addrcs�s: 1820 Roosevelt, Wid., Eugene, �OR <br />97402. <br />The DMsion Director shil schedule a time and place for Ille informal hearing to be conducted, whIch shah be not nioric than <br />'72 hours (exclusive of weekends) of receipt of the request for hearing. At the informal hearing the Divisk.m. Director will oniv <br />consider testimony frorn you, City personnel involved in. the incident that resul.teld in this Notice, and uthervvrmesst.^,, to thea'. <br />incident. The Division Director may exclude anyone., other than you and tholsel presenting bestimony, from the infortnail hearing, <br />Tbis Notice shall remain in effect pending any requested hearing. <br />This Notice of Exclusion was dickviered to the person nanied at the top of this, Notice at the date and tirrre shown above by�! <br />WAIZ��--YN <br />(Signature ol'person issuin�,!,/dcfivcnng noa icic) <br />I here'Lly acknowledge receipt ulf the above Notice on the daite and time indicated above. <br />clo <br />(Signiature of person being ussilxed the noficv) <br />While Copy, Publir 'ADrk�r3lv'�A i Iqlk Y e11 low Co pY: ReT. arl Copy Pilnk CopRecfpieRA Gedid C�f�)Ijpy MWiceir App iY1 nodi ct,, R . iI'Vf3 <br />