NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATE:-06�9 / 0 ----- . .. . ............ . . .. ....... <br />LOCA,l-10N (PARKA)VEN SPA(.'Ey S <br />" V <br />E 4: �eol Y��" <br />...... . ..... . . . <br />Under the authority of Administrative Order Tarr® 58-03-24-F and Park and Open Space Rule R. -I .005(3), you are hereby <br />notified that you are prohibited from (check box): <br />VEntering In or using all City of Eugene parks, opLnspaces or facilities, <br />X <br />The basis Rirtbis Notice of'Rests-iction of Use is that sero 0 D ) <br />_KV7 451L you violated Section. F thie Park <br />and Open SpaceAudes, and/or Section. ---11 - ----- --- ofthe Eugene (.",ode, 1'971, and/ojr (,..)RS . .... To wit, y1r,'n.c <br />(Description ofthe violafion,) <br />'I"his restriction of use is effective beginning on ........... . and shall rentain in elifecil until <br />If you cater in or use any City of Eugene park., open space or facility dtiring the effeclive crpf tMs 1�Ioficc, ri-aty l,:)e <br />arrested and charged vviih crirrunal tre,,pass in the second dcgree, <br />Pursuant to P.arkand Open Space Rule R- 1.074 you are entitled to an itiffirmal hearing to contest this Notict.w, A tror. an <br />inf6rmal hearing must be made in writing and filed with the Parks & Open Space Division Director ("'thic Division Dinector") <br />within 48 hour's (exclusive of weekends) of'receipt of Lh.is Notice at the fb1lowing address1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Director shall schedule a time and place fior the informal hearing to be conducted, nerd ieh shall be i.,iol nicn'e than <br />72 hours (exclusive ofvveekends) ofreceipt of the request for hearing. At the nillbrmul hearing the Division Director will only <br />consider tes(irnony from you., ( .1 ity personnel involved in the incident that resulted in this Nofioc,, and other wilnessics; tirr') itir <br />incident. The Division I)irect(.)rm,,13-yCXCILideanyotie, otherthanyouand those presenting testinv,)nY, frown the infornial hii.,dring, <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice a,,)f Exclusion was delivered to the person narned at the top ofthis No itis at the date and iirnie shown al-sra.[,,rY: <br />. ... ... . ..... .. . ... <br />-2`in-..0 <br />is,na�V 11i� <br />ron d eI i v i r i ig rwticO <br />I hereby acknoMedge recicipt offfie above Notice on the date and time indicated above, <br />(Signature ofpeu son being assu.ed the notit.-e) <br />Copy Flublw Woks (.; ourn Ccwt?y Ft ke Yolow C".YpyRvrurL Crql) Pink Copy: RccipFent Gold (7apy: (,L)ITwer AriqnerAl nolice Prey W/03 <br />