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NOTICE OF RESTRICTION OF USE <br />and Notice of bight to Appeal <br />DATF: 08015' TIME: ofp- CASE <br />LOCATION (PARK/OPEN SPACE): Cgr±" ktsL 6;wz f,-' <br />Under the authority of Administrative Order No. 58-0:3-24-F and Park and 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 City of Eugene parks, open spaces or facilities. <br />❑ r <br />The basis for this Notice of Restriction of Use is that on t W IWIC , you violated Section 610 of the Park <br />and Open Space Rules, and/or Section 02 6,r5j of the Eugene. Code, 1971, and/or ORS To wit, you: <br />:. �.�¢� �R+�i'S�..i! •r../ t3e,..�E�$ %�..sti ��..� ft,[�1C�-S' tQ. ��s E1CCde.r-Y('�xr:.l <br />va Lf a ta�►t=L 1"16r.Ar <br />(Description of the violation.) <br />This restriction of use is effective beginning on 0 and shall remain. in effect until Cir i y 149 <br />Il'you enter in or use any City of Eugene park, open space or facility during the effective period of this Notice, you may be <br />arrested and charged with criminal trespass in the second degree. <br />Pursuant to Park and Open Space Rule R-1.074 you are entitled to an informal hearing to contest this Notice. A request for an <br />informal hearing must be made in writing and Filed with the Parks & Open Space Division Director ("the Division Director") <br />within 45 hours (exclusive of weekends) of receipt of this Notice at the following address: 1$20 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Director shall schedule a time and place for the informal hearing to be conducted, which shall be not more than <br />72 hours [ informal <br />exclusive of weekends) of receipt of the request for hearing. At the hearing the Division Director will only <br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the <br />incident. The Division Director may exclude anyone, other than you and those Presenting testimony, From the informal hearing. <br />This Notice shad retrain in effect pending any requested hearing. <br />This Notice of Exclusion was delivered to the person named at the top orthijNoticc Ie ateani/ tine shown above. by: <br />, of person issuing.idelivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(Signature of person being issued the notice) <br />White Copy: Public Works Green Copy: rile. Yellow Copy: Report Copy Pink Copy. Rccipient Gold Ci3py: URicer Appeai notice Rcv• 04/03 <br />Namc: Last First Middle <br />DOB: <br />Rac c/sex: <br />J <br />Res. Address: City <br />State <br />Zip <br />Res, Phone: <br />Work Phone: <br />Under the authority of Administrative Order No. 58-0:3-24-F and Park and Open Space Rule R-1.005(3), you are hereby <br />notified that you are prohibited from (check box): <br />. Entering in or using all City of Eugene parks, open spaces or facilities. <br />❑ r <br />The basis for this Notice of Restriction of Use is that on t W IWIC , you violated Section 610 of the Park <br />and Open Space Rules, and/or Section 02 6,r5j of the Eugene. Code, 1971, and/or ORS To wit, you: <br />:. �.�¢� �R+�i'S�..i! •r../ t3e,..�E�$ %�..sti ��..� ft,[�1C�-S' tQ. ��s E1CCde.r-Y('�xr:.l <br />va Lf a ta�►t=L 1"16r.Ar <br />(Description of the violation.) <br />This restriction of use is effective beginning on 0 and shall remain. in effect until Cir i y 149 <br />Il'you enter in or use any City of Eugene park, open space or facility during the effective period of this Notice, you may be <br />arrested and charged with criminal trespass in the second degree. <br />Pursuant to Park and Open Space Rule R-1.074 you are entitled to an informal hearing to contest this Notice. A request for an <br />informal hearing must be made in writing and Filed with the Parks & Open Space Division Director ("the Division Director") <br />within 45 hours (exclusive of weekends) of receipt of this Notice at the following address: 1$20 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Director shall schedule a time and place for the informal hearing to be conducted, which shall be not more than <br />72 hours [ informal <br />exclusive of weekends) of receipt of the request for hearing. At the hearing the Division Director will only <br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the <br />incident. The Division Director may exclude anyone, other than you and those Presenting testimony, From the informal hearing. <br />This Notice shad retrain in effect pending any requested hearing. <br />This Notice of Exclusion was delivered to the person named at the top orthijNoticc Ie ateani/ tine shown above. by: <br />, of person issuing.idelivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(Signature of person being issued the notice) <br />White Copy: Public Works Green Copy: rile. Yellow Copy: Report Copy Pink Copy. Rccipient Gold Ci3py: URicer Appeai notice Rcv• 04/03 <br />