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NOTICE: OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATE: _% 4: TIME: - ;, CASE <br />LOCATION (PARK/OPEN SPACE):__ AL Golf &x" A-fC <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 APA* , you violated Section 01 ( of the Park <br />and Open Space Rules, and/or Section U7 of the Eugene Code, 1971, and/or ORS To wit, you: <br />ff <br />(Description of the violation.) <br />This restriction of use is effective beginning on p�}D �ijr , and shall remain in effect until 020 <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 e date and time shown above by: <br />b-7dZ f tore of person issuingidelivering notice) <br />� 0 PO <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />Whig Copy- Public Works Gncn Copy; F;Ic Yellow Copy: Report Copy <br />(Si ature creperson bung issued the notice) <br />r <br />Pink Copy: Recipient Gold Copy Officer Appeal not ice Rcv. 04!03 <br />Name: Las(66 5574TR,- first <br />Middle <br />DOH: <br />Rac:c!Scx: <br />aFP <br />!4l14/�� <br />VV <br />v <br />Lj <br />a <br />Rcs. Address: City <br />State <br />Zip <br />Res. Phone: <br />Work ]'hone: <br />/,z <br />&/" <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 APA* , you violated Section 01 ( of the Park <br />and Open Space Rules, and/or Section U7 of the Eugene Code, 1971, and/or ORS To wit, you: <br />ff <br />(Description of the violation.) <br />This restriction of use is effective beginning on p�}D �ijr , and shall remain in effect until 020 <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 e date and time shown above by: <br />b-7dZ f tore of person issuingidelivering notice) <br />� 0 PO <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />Whig Copy- Public Works Gncn Copy; F;Ic Yellow Copy: Report Copy <br />(Si ature creperson bung issued the notice) <br />r <br />Pink Copy: Recipient Gold Copy Officer Appeal not ice Rcv. 04!03 <br />