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DATE:
<br />NOTICE: OF RESTRICTION OF USE
<br />and ?Notice of Might to Appeal
<br />TIME: Ya� a,,. CASE #
<br />(Nsl W3ij
<br />16% 09S.
<br />LOCATION (PARK/OPEN SPACE): (JLV EA4 1I4V5.XT_ &OV0,17;.J S A -49 -Mk- TO L_
<br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005(3), you are herehv
<br />notified that you are prohibited from (check box):
<br />XEntering in or using all City of Eugene parks, open spaces or facilities.
<br />0
<br />The basis for this Notice of Restriction of Use is that on q r , you violated Section 0, A4T the Park
<br />and Open Space Rules, and/or Section of the Eugene Code, 1971, and/or URS . To wit, you:
<br />(Description of the violation.) At
<br />This restriction of use is effective beginning on r♦ �! r 5 , and shall remain in effect until d11 ,1
<br />If 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 48 hours (.exclusive of weekends) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR
<br />97=102:
<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 (exclusive of weekends) of receipt of the request for hearing. At the 1aforinaI hearing the. Division Director NVill only
<br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the
<br />iiicidcnt. The Division Director may exclude anyone, other than you and those presenting testimony, from the informal hearing.
<br />This Notice shall remain in effect pending any requested hearing.
<br />This Noticc of Exclusion was delivered to the person named at the top of this Notice at the date and time shown above by:
<br />j F'rexx L -j #we
<br />(Signature. oFperson 1ssuingldelivering notiee]
<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 />While Copy: Public Works Green Copy: File Ycilow Copy: Report Copy Pink Copy: Recipient Gold Copy: Officer Appcal no[ice Rei•. 04103
<br />Name: Last First Middle
<br />f}O$: IRai.r+Se
<br />w
<br />Res. Address: City
<br />State
<br />Zip
<br />Res, Phone:
<br />Werk Phone:
<br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005(3), you are herehv
<br />notified that you are prohibited from (check box):
<br />XEntering in or using all City of Eugene parks, open spaces or facilities.
<br />0
<br />The basis for this Notice of Restriction of Use is that on q r , you violated Section 0, A4T the Park
<br />and Open Space Rules, and/or Section of the Eugene Code, 1971, and/or URS . To wit, you:
<br />(Description of the violation.) At
<br />This restriction of use is effective beginning on r♦ �! r 5 , and shall remain in effect until d11 ,1
<br />If 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 48 hours (.exclusive of weekends) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR
<br />97=102:
<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 (exclusive of weekends) of receipt of the request for hearing. At the 1aforinaI hearing the. Division Director NVill only
<br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the
<br />iiicidcnt. The Division Director may exclude anyone, other than you and those presenting testimony, from the informal hearing.
<br />This Notice shall remain in effect pending any requested hearing.
<br />This Noticc of Exclusion was delivered to the person named at the top of this Notice at the date and time shown above by:
<br />j F'rexx L -j #we
<br />(Signature. oFperson 1ssuingldelivering notiee]
<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 />While Copy: Public Works Green Copy: File Ycilow Copy: Report Copy Pink Copy: Recipient Gold Copy: Officer Appcal no[ice Rei•. 04103
<br />
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