NOTICE OFRES'FRICTION 0F,LJSE <br />and Notice of Right to Appeal <br />DATE: 'riME: <br />..... ..... ............ . ... .............. . . . . ........... .... . . <br />1-0CA110N (PAR,K/OPFN SPA(1 MDAJPd&- 5T, <br />11 - -/ Ic . . ..... <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R- 1.005(13), 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. ...._--w vioiateA. Section 4yc> cifthir,.,, Park <br />--0,5/V <br />anA,0pen Space Rules, and/or Section <br />o r the E ugene Code, 197 1, and4or 0RS Ticr� wit., yinu: <br />............. . ------- <br />(Deseriptiori of the violation.1 <br />This restriction of use is effective beginning on.0-9—MS--- and shall remain in effect <br />If yau enter in or use any City of Engem,-, park, olien slimce or filiCillity dllffiny? the Ct'FC,CfiVe Pit!TiOd oifthi,.; Notice, you alay be <br />arrested and charged with crirninal trespass in the second degree, <br />Pursuant to Park and (,..-)pen Space Rule R-1.071 you are entitled to an informal hearing it) contest this Notice, AL fe(11,11C.St fror- an <br />informal hearing must be rnade in writing and filed with the Parks & Open Space Division Director ("the Division [)uee-tor") <br />within 48 hours (exclusive of weekends) of receipt of this Notice at the followingaddress: 1820 Roosevelt, Blvd.., Eugene, OR <br />97402. <br />The Division Director shall schedule as tirne and place for the inflormal hearing to be conducted., which shall be nw more than <br />'72 houns, (exclusive nil wee of receipt of the request for hearing. At the inforinal hearing the Division Dire i.ltor MH only <br />consider testimony frorn you, City pe nsonnel involved in the incident ffiat resulted in this Notice., an(] other witnesses to the <br />incident. The Divisk,:)n Director niay exclude anyone, other t1ran you and those presenfi ng testimony,frc)rn (lie <br />This Notice %hall remain in effect pending any requested hearing. <br />This Notice of Exclusion was delivered to the person manied at the top of this Notice at the I d firric shown abovc-. [.�Y: <br />Z7 <br />I hereby acknowledge receipt of the above Notice on the date and di-ne indicated above, <br />............. . ........... ......................... – <br />natu ol'person being issued the nofice) <br />W frits C op Y � P LlB 7 V i r Wcolk, Grknnn hh.., Y .111,9 w Co p.,j! RvTj(W Ccap y N n k Colry: R u6pie ii ti[ GLAI Copy:Dffic'ry .t pp oorGiu c FR, . 04110r -.,W <br />