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NOTICE OF RESTRICTION OF USE
<br />and Notice of Right to Appeal
<br />DATE: oy p -s— 5- TIME: 6797 CASE #: `f ilp
<br />LOCATION (PARK/OPEN SPACE):
<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 CZ$,1-r-/J- , you violated Section J • o,, �) _ of the Park
<br />and Open Space Rules, and/or Section of the Eugene Code, 1971, and/or ORS . To wit, you:
<br />(Description of the violation.)
<br />This restriction of use is effective beginning on
<br />g g (J�� �1�, and shall. 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 Fled 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 shaIi be not more. than
<br />72 hours (exclusive of'weekends) of receipt of the request for hearing. At the informal hearing the Division Director w 11 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 ol'this Notic , t the date and time shown above by:
<br />(Sign Lure of person issuing./delivering notice)
<br />I hereby acknowledge receipt of the above. Notice on the date and time indicated above.
<br />L/J _ an _.
<br />(Signature of person being, issued the notice)
<br />white Copy: Public Works Green Copy= Pile yellow Copy: Rcporl Copy Pink Copy: Recipient Gold Copy: Officer Appeal notice Rev- 04+'03
<br />Name: Last First Middlc
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<br />heti- tlildress: City
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<br />Res. Phono:
<br />Work Phone:
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<br />i? 701//
<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 CZ$,1-r-/J- , you violated Section J • o,, �) _ of the Park
<br />and Open Space Rules, and/or Section of the Eugene Code, 1971, and/or ORS . To wit, you:
<br />(Description of the violation.)
<br />This restriction of use is effective beginning on
<br />g g (J�� �1�, and shall. 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 Fled 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 shaIi be not more. than
<br />72 hours (exclusive of'weekends) of receipt of the request for hearing. At the informal hearing the Division Director w 11 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 ol'this Notic , t the date and time shown above by:
<br />(Sign Lure of person issuing./delivering notice)
<br />I hereby acknowledge receipt of the above. Notice on the date and time indicated above.
<br />L/J _ an _.
<br />(Signature of person being, issued the notice)
<br />white Copy: Public Works Green Copy= Pile yellow Copy: Rcporl Copy Pink Copy: Recipient Gold Copy: Officer Appeal notice Rev- 04+'03
<br />
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