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NOTICIE' OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATE! M, t"? TINIE: I <br />.. . . . .. ....................... . . -1 .. .................. . . . . . . .. .................. <br />CASE 9: <br />1;): <br />LOCATION [111ARK/OPEN SPA( . . .... ------ <br />Narue" LastlMiddle 1)013� <br />0 <br />dM <br />Ao <br />I -LI Rie.w,- Adl dress: Kies, Pholi <br />C,...'-51..� ......... . . . . . <br />A <br />Work Phone� <br />Under the authority III 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 />L3 i "I <br />The basis f6r this Notice of Restriction oftJsc is that on ...... you vi ol I a1ed See, hiCin A I1110 of theFlark <br />...... ... . . . <br />Open Space Rules, apd/or Section <br />(Description ofthe vic)latici <br />ofthe Eugelpe Code, 1971„ and/or ORS <br />M <br />Tio wit, You: -- ---- <br />This restriction of use is effective beginning on and shall remain in effect until A.i-211—. -.'. <br />I f" you enter in or use any City o f Eugene park., open space or facil ity d uring the effective period of this Notice, you rna'y be <br />arrested and charged w4h 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 rii f6r ztn <br />Informal hearing must be made in writing and filed -with the parks & Open Space Divisic)n Director i Divisilori Director") <br />within 48 hoiurs (exclusive of weekends) oit'receipt of this Notice at the f6flowing adch-iess- 1820 Roosevelt, Bli Eugene, OR <br />97402. <br />The Division Director shall schedule a time and place for the infbmial. hearing to be conducted, which shall be not more ihan <br />72 hours (exclusive cif weekends) ofireceipt of the request for hearing. At the infoixyu,,fli heafing the Division Director will uinly <br />consider testimonyfimni you, City personnel. involved in the incident that re%ulted in this Noilice, and other witnesses tio, thile, <br />incident. 'rhe Division Director may exclude anyone, other than yo -u -and those presenting testimony, the infbrirrual hili <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 ofillis Noti at the �date and t' I own abovc by! <br />4kllic s' 'I <br />- S, . . .............. I .......... . ....... .. <br />[III a of Pe s ssuing/&Hvering nodc'e) <br />I hereby acknowledge receipt oif the aubove Nc)fice on the date and time indica Idt"', bcn-y <br />" TI/ <br />... .. ..... <br />gnnatupr of rx-- Is I i hen" ssued the noticic <br />Whine CiDpyWcyrkr," Gruen Cop, <br />File Vviiiluw Cofyy� Reporl Pink Cupy, RcvqfiyenP: Gold Copy7 Officer Appefl noutze H.rv' 04/03 <br />