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NOTICE OF RESTRICTION OF USE Vj 5<3 <br />and :Notice of Right to Appeal <br />DATE: VDr� .7 _ TIME: <br />LOCATION (PARKIOPFN SPACF): V' 66,r1 4k)o _. <br />CASE #: 115 -- /Y�3, Lr <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 />The basis for this Notice of Restriction of Use is that on OR 2 -7-J J , you violated Section of the Park <br />and Open Space Rules, and/or Section. -_0L_' of the Eugene Code, 1971, and/or ORS . To wit, you: <br />CA9'tW11L V4�542-5 .7 2- / CMAAQ01- 49( W-,X64�t� <br />1�A(Description of the violation.) � � 5 - 9/7,7 t �� � <br />This restriction of use is effective beginning ono and shall remain in effect until JI Z I^7 IS <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 d to and tithe shown above by: <br />'ignature of persotl ' suing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(, tgnature til per.. cing issued the notice) <br />White Copy: Public works Gruen Copy: Filc Yellow Copy: Report Copy Pink Copy Recipient Gold Copy: CHricer Appeal notice Rev, 04103 <br />Name: .1-ast First Middle <br />DOB: <br />Rac' C <br />0. <br />i W5'1 Y /Y 1 S <br />Q lid <br />l4 <br />Re' ress:City <br />State <br />Zip <br />Fte . hong.+:J <br />Work i'hcrrre: <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 />The basis for this Notice of Restriction of Use is that on OR 2 -7-J J , you violated Section of the Park <br />and Open Space Rules, and/or Section. -_0L_' of the Eugene Code, 1971, and/or ORS . To wit, you: <br />CA9'tW11L V4�542-5 .7 2- / CMAAQ01- 49( W-,X64�t� <br />1�A(Description of the violation.) � � 5 - 9/7,7 t �� � <br />This restriction of use is effective beginning ono and shall remain in effect until JI Z I^7 IS <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 d to and tithe shown above by: <br />'ignature of persotl ' suing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(, tgnature til per.. cing issued the notice) <br />White Copy: Public works Gruen Copy: Filc Yellow Copy: Report Copy Pink Copy Recipient Gold Copy: CHricer Appeal notice Rev, 04103 <br />