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NOTICE OF RESTRICTION OF LfSE <br />and Notice of [tight to Appeal <br />DA"FE. Tl M L CASE 0: <br />LOCATION (PAR.KiOPEN SI'ACE):___ /tic <br />----------- ..... . ........... <br />Nanle, List Fr -N i(IdIc DOM <br />'I b 13 <br />� 9t swat <br />sult, r P (A A <br />city zirI Re�', Phtinc, <br />W <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005(31, you are hereby <br />notified that you are probibited 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 o IF LJ se is that cane..... 0. WY -k-1 --, you violated Section /1 -Am— of, I park, <br />Space Rules, and/or Section I ........ . . —.—, ofthe Eugene Code, 1971, and/or OR S Towit,,Yollv- . . ................ <br />10—d r-h-thjA A/jq A4 k -4,441m <br />(Description of the violation.) <br />is restriction of use is effective beginning on "91 J5-., and shall remain in effect until Avy—/ <br />Ifyou enter in or use any, City of Eugene park, open space or facility during the effective period of this Notice, you aray be <br />arrested and charged with criminal trespass in the second degree. <br />Pursuant to Mark and Open Space Rule R-1..074 you are entitled to an informal hearing to contest this Noficc� A requiest for L111 <br />infortual hearing must be made in writing arid filed with the Parks & Open Space Division Director ("'the Division Director"") <br />within 48 hours (eXC]USjve of weekends) of'receipt of this Notice at the fi)llowing address:: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Director shall schedule as time and place forthe informal hearing to be conditoed, which shall be not nione than <br />72 hours (exclusive ofweekends) of receipt orthe request tI hearing. At the intbrinal hearing the Division Dire(..,tor wiH only <br />consider testimony from you, City personnel involved in the incident that resulted in (his Notice, and other witnesscto the <br />incident. Ihe Division Director may exclude anyone, other than you nand those presenting testintony, frorn the infiemial hearing. <br />1" is Notice shall remain in effect pending any requested hearing. <br />This Notice of Exclusicni was delivered to the person nained at the top of this Notice <br />b, - . . . . . . .................... <br />'Signat <br />ure of pen on issuing delivering, not - <br />1 hereby acknowledgc receipt ofthe above Notice on the date arid time indicated above, <br />..................... . .......... . . . . . . <br />vs of P&San be-ifilossued the notice) <br />White ( ojrpy'. Pulbhc Works Green,I..'opy� Hit- 10114mv Gopykpprxt Copy Pink I Kec-ipicni. as Ad Ccr py () 76 cT r wap pc a I ncii[ K 14, <br />