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�,j a-1 3q <br />NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />3H5�V M- <br />DA'L'E: 09&4415- <br />l&44I,r <br />TIME: <br />c3L,, <br />CASE. <br />LOCATION (PARKIOPEN SPACE): <br />ata.) <br />3&kli& <br />Under the authority of Administrative Order No. 58-43-24-F and Park and Open Space Rule R-1.445(3), you are hercby <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 09 0 q L 5— , you violated Section /t!D!5-6 of the Park <br />Open Space Rules, and/or Section of the Eugene Code, 1471, and/or ORS . To wit, you: <br />( Description of the violation.) <br />This restriction of use is effective beginning on, and shall remain in effect until a! <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 he <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 he 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 />9'7402. <br />The Division Director shall schedule a time and place ]or 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 ini'ormal 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 the date and time shown above by: <br />(Signalkrk of person issuing,/delivering notice.) <br />1 hereby acknowledge receipt of the above Notice on the date and time indic •.L1b(*. <br />(Signature of person being issuOticc) <br />While Copy; Public Wurks Green Copy: File Yellow Copy: Report Copy Pink Copy: Recipient Cold Curr: Officer Appeal notice Rev. 04,01 <br />Name: Last <br />First <br />Middle <br />I]OW <br />Rae.~:;',_ x: <br />-71V <br />Res. Address: <br />City <br />State <br />Zip <br />Res. Phone: <br />work P lnnc: <br />Under the authority of Administrative Order No. 58-43-24-F and Park and Open Space Rule R-1.445(3), you are hercby <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 09 0 q L 5— , you violated Section /t!D!5-6 of the Park <br />Open Space Rules, and/or Section of the Eugene Code, 1471, and/or ORS . To wit, you: <br />( Description of the violation.) <br />This restriction of use is effective beginning on, and shall remain in effect until a! <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 he <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 he 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 />9'7402. <br />The Division Director shall schedule a time and place ]or 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 ini'ormal 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 the date and time shown above by: <br />(Signalkrk of person issuing,/delivering notice.) <br />1 hereby acknowledge receipt of the above Notice on the date and time indic •.L1b(*. <br />(Signature of person being issuOticc) <br />While Copy; Public Wurks Green Copy: File Yellow Copy: Report Copy Pink Copy: Recipient Cold Curr: Officer Appeal notice Rev. 04,01 <br />