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0111\1
<br />NOTICE OF RESTRICTION OF USE
<br />and Notice of Right to Appeal
<br />DATF� TIME- CASE' 4- V
<br />AV 15 ................................... . . . . . f . . . . . . . . ....................... . .......... . . . . . . . .............. d.
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<br />r
<br />LOC'A,rl(' N (PARKJOPEN SPACE)� . ..... .............. . . . . . . . . . . .. ........................................................... . . . . ............. . ............. . .............. . . . .
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<br />Nani� t ast j R, Y s, i Middle DO Li:
<br />D. W
<br />Res, Address: (It, State Zip, Res. Phone. Work, Phortc':
<br />Y
<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 />0
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<br />The bhat on you violated Section
<br />asis for this Notice ol'Restriction of Use is t I 91of f the Park
<br />" 0 (-) fthe Eugene Code, 197 1, and/or ORS I To wit, you:
<br />and Open Space Rules, and/or Section !l 1.1 . .. ........ . . .... . . ...............
<br />o r . ....... A/ j i
<br />............ . ................ . . . . . . .......................... . . . . .
<br />(Description ofthe violation.)
<br />This restriction of use Is effective beginning on VK -9 and shall remain in effect until
<br />Ifyou enter in or use any Cfty ofEugione park, open space or f1wility during tfte effrcaiv�,,- perioldofthi,s, yi(.,ra may be
<br />arrested and charged with crit ninal tWspass in the second degree,
<br />Pursuant to Park and Opcn Space Rule R-1.074 you are entitled to an infornial hearing to contest this Notice, A requilest fir an
<br />informal hearing must be made in writing and filed with the Parks & 0peti Space Division Director ("the Division Directim"),
<br />within 48 hours (exclusive ol'weekends) of receipt ofthi% Notice at the following address: 1820 Roosevelt, Blvd., Eugene, Olt
<br />97402.
<br />The Division Director shall schedule a time and place for the infortual hearing to be conducted, which shall be not wacn-e titian
<br />'72 hours, (exc lus rve o I'weekends) o ('receipt () C the req nest for hearing, At the in fornial I icarin g the Division Director rill o nly
<br />consider testiniony, from you, ( lity personnel involvet.] in the incident that resulted in this Notice., and other v(the sses tui the
<br />incident. The Division Director may exclude anyone, otlicy, than you and those prescining testhnony, ifom the inft=,al, 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 ofthis Notice at the date ., dtimeshown above by:
<br />63"
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<br />(Signature (A'person issuing/dclivering, nodce)
<br />f hereby acknowledge reccipt ofthe above Notice on the date and time indicated above.
<br />............................ I...... I ,L/;7 .0. ........... ......... . . '--- . . .................. I ...........................
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<br />(Signature of persoin. being, issued the nodico
<br />Whlac COPY: Public WudGreen F^ Ili Ycrflwx Copy! Rpod Cop"", Punk Copy: R.ecapieni[ Oohf iC'�ipyDH'j,-T.r Afqxmd nodr.,, Prrt-c 041,01
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