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NOTICE OF RESTRICTION OF USE
<br />�j and Notice of Right to Appeal
<br />DATE: V � � TIME: ? 5-2 CASE #
<br />LOCATION (PARKJOPEN SPACE): W( --S- Ntic OL tto W Ash
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<br />Under the authority orAdministrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005(3), you are hereby
<br />notified that ,you are prohibited from (check box):
<br />0
<br />Entering in or usingall City of Eugene parks, open spaces or facilities.
<br />N�, U(L ussrj6, W
<br />C 06 S k ArT-q- Avt k
<br />The basis for this Notice of Restriction of Use is that on D $ a,45--/ Jr , you violated Section �y 0 r! Q of the Park
<br />and Open Space Rules, and/or Section of the Eugene Code, 1971, and/or ORS . To wit, you:
<br />11PrA-IC AP► � 11 14oij,12
<br />(Description of the violation.)
<br />This restriction of use is effective beginning on 6 ❑ 15- /� , and shall remain in effect until b 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 />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 (exclusive of weekends) of receipt of the request for hearing, At the informal 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 ❑iTCCIOr 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 Notice of Exclusion was delivered to the person named at the top of this Notice t the date, and time shown above by:
<br />(Sir re of person issuingidelivcring notice)
<br />I hereby acknowledge receipt of the above Notice on the date and time indicated
<br />(Signature of person being issued the notice)
<br />White Copy: Public Works Grcen Copy: File Yellow Copy- Report Copy Pink Copy: Recipient Geld t'upy: O iccr Appeal notice Rcv. 044
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<br />Under the authority orAdministrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005(3), you are hereby
<br />notified that ,you are prohibited from (check box):
<br />0
<br />Entering in or usingall City of Eugene parks, open spaces or facilities.
<br />N�, U(L ussrj6, W
<br />C 06 S k ArT-q- Avt k
<br />The basis for this Notice of Restriction of Use is that on D $ a,45--/ Jr , you violated Section �y 0 r! Q of the Park
<br />and Open Space Rules, and/or Section of the Eugene Code, 1971, and/or ORS . To wit, you:
<br />11PrA-IC AP► � 11 14oij,12
<br />(Description of the violation.)
<br />This restriction of use is effective beginning on 6 ❑ 15- /� , and shall remain in effect until b 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 />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 (exclusive of weekends) of receipt of the request for hearing, At the informal 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 ❑iTCCIOr 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 Notice of Exclusion was delivered to the person named at the top of this Notice t the date, and time shown above by:
<br />(Sir re of person issuingidelivcring notice)
<br />I hereby acknowledge receipt of the above Notice on the date and time indicated
<br />(Signature of person being issued the notice)
<br />White Copy: Public Works Grcen Copy: File Yellow Copy- Report Copy Pink Copy: Recipient Geld t'upy: O iccr Appeal notice Rcv. 044
<br />
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