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DATE: & - lj <br />NOTICE: OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />TIME: ItY'01 <br />C4 Ldr- <br />jup �L-Wqs� <br />CASE #: 15-" 14-13 F -- <br />LOCATION (PARK/OPEN SPACE): i1 nl 1,JCr-FUtSOvl ebAk- <br />Under the authority of Administrative 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 />Entering in or using all City of Eugene parks, open spaces or facilities. <br />■❑ <br />The basis for this Notice of Restriction of Use is that on 7 ` 2 3 . , you violated Section <br />and Open Space Rules, and/or Section L.QI q of the Eugene Code, 1971, and/or ORS <br />(Description of the violation.) <br />This restriction of use is effective beginning on <br />of the Park <br />To wit, you: <br />and shalt remain in effect until <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 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 Notice of Exclusion was delivered to the person named at the top of this Notice at the date and time shown above by: <br />(Signatur of person issuing/delivering notico) <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: File Yellow Copy: Report Copy Pink Copy: Recipient Gold Copyr Officer Appcal notice Rev. 04/03 <br />Name: Last <br />First Middle <br />D013: <br />" e'sex: <br />7. <br />Lw <br />Res. Address: <br />City <br />State <br />'Lip <br />Res. Phone: <br />Work 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 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 />■❑ <br />The basis for this Notice of Restriction of Use is that on 7 ` 2 3 . , you violated Section <br />and Open Space Rules, and/or Section L.QI q of the Eugene Code, 1971, and/or ORS <br />(Description of the violation.) <br />This restriction of use is effective beginning on <br />of the Park <br />To wit, you: <br />and shalt remain in effect until <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 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 Notice of Exclusion was delivered to the person named at the top of this Notice at the date and time shown above by: <br />(Signatur of person issuing/delivering notico) <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: File Yellow Copy: Report Copy Pink Copy: Recipient Gold Copyr Officer Appcal notice Rev. 04/03 <br />