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NOTICE OF RESTRICTION OF LISE <br />and Notice of Right to Appeal <br />DATE: TIME: CA S E 4: <br />. .............................. . ... . . . . . . . ............ . . . ................... <br />LOCATION (PARK/OPEN SPACE): -"A] <br />7 Z5�J <br />. . . . . . . . . ................. . . ........................ . <br />t3nder the authority of Administrative Order No. 58...03-24-F and Park amid Open Space Rule R-1.005(3), you are hereby <br />notified that you are prohibited from (check box): <br />Entering in or using all (Aq, of Eugene parks, open spaces or facilities. <br />. . .. . ..... . ...................................................... . . . . .... ................................. . . . . ............. __IT <br />.. . . ............................................................................... . . . . . . . ..... <br />The basis for this Notice of Restriction ofUse is that ona� 'Y�"'i-' "ilkaRA Section, of Park <br />and Open Space Rules, anctlor Sectioi�,,,00 of the EugCode, 197 1, and/or (-)RS . T'o wit, yirxjr'��" <br />. . . ............................... . <br />(Description ofthe violationj <br />This restriction of use is effective beginning oric&—i <br />and shall remain in effect untill-01 09 <br />... ...... ............... . . . . <br />If you enter in OF Use any (,"iry of.Eugerie park, open space or facility during the effi ctivie period of this Notice., you rruty �be <br />arrested and charged with criminal trespass in the siccond degree. <br />Pursuant to Park and OpenSI-Pace Rule RA.074 you are entitled tab barn informal hearing to contest this, Notice. Arcquestfbj',bail <br />informal hearing must be rnade in writing and filed with the Parks & Open Space Division f hrector ("Llie Division <br />w1thin 48 hours (exclusive ofeckendsl of receipt of this Notice at the Collowirigaddrcss� 1820 Roosevelt, Blvd., Eugene, OR. <br />97402. <br />The Division Direclorshall schedWe a time and place for the informal hearing to be conducted, which shall he not iriore than <br />72 hours (exclusive ofweckends') of receipt of the request for hearing. At the infiarnal hearing thio Efivision Director will only <br />consider testirru�)ny ftioni you, City personnel. involved in the incident that resulted in this Notice, and, other witnesses to the, <br />inci dent. The D rvi sion Di rector may exel ude anyone, offier than you a rid those presenting testimony, from the inf6rrna I hie. arin p, <br />This Notice shall remain in effect pending any requ$sted hearing. <br />This N otice o r Exclusion was deliv cred to the person named at the top of th i q Notice at the date and brine shown a bi(.wie ii y <br />. . . . . . . ........................ <br />(Sgnaturc of , Per ion issuirig/delivering notice) <br />I hereby acknowliedge receipt of the above Notice on the data and time indicated above. <br />(Sigxiature of purs�()n beirig issilt�.L��id <br />whiilu Copy Puhhc Works C; FiCr."lill CUr y � Fl W Yellow Cvpyhk'qoT1 Copy Pink i RedipieniGuld i [-'LlAk .r ApIpeafricidice Re", <br />