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NOTICE OF RES17RICTION OF USE <br />and Notice of Right to Appeal <br />Q, CASE 1� <br />DATF: --- 6 uvf 'TIME: <br />LOCATION (PARKJOPEN SII,ACEt� <br />1-6 . . ............. . . <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R 1l.005(3), you are^I 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 />X <br />The basis for this Notice of'Restriction of Use is that on .. . . . . . . . . ................... I you violated Section ..... ­ _of the Park. <br />tt�p e '01 Y0U:­­_­._, <br />. . . . . . .......... . .. --- <br />(Description Ofthe ViOlati0n..) <br />This restriction (of use is effective beginning on —0—ii I!L, and shall remain in effect until <br />If yon enter in or use any City of E'ugene park, open space or facility during the effective perrod of this Notice, you rn,,.,hy be <br />arrested and charged with criminal trespass in the second degree. <br />Pursuant to Park and Open Space Rule It -1.07 you are entitled to an infortral hearing to contest this Notice. A. rc.°(JUIOSt IiM' arl <br />informal hearing must be made in writing and filed with the Parks & Open Space Division Direct<:)jk ("the Divjsion Director-) <br />within 48 hoLirs texclusivc of weekends) of receipt of this Notice at the ffillowing address:: 1820 Roosevelt, Blvd., Eugeiiw, OR <br />97402. <br />The Divisic)n Director shall schedule a time and place for theillf'ontial hearing to he conduicted, wl-,iich shall be not rniort, than <br />72 hours (exclusive of wokeflds) of receipt of the request. for hearing. At the informal hearing the DiViSiC)Ti Director will only <br />consider tetimony frorn you, City personnel involved iti the incident that resulted in this Notice, and other, wit ivsses to the <br />incident, The Division Director may exclude anyone, other than you and those presenting tcstimony., from the ]In forinal ficanng'. <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of'Exclusion. was delivered to thic perswri named at the top oftliisrffice at the date and flMe Shown abovie Iby: <br />I hereby ackno-vledge receipt ofthe above Notice on the date and ti <br />ofpcnwn isqi6ng/defivering notice) <br />................................... I .............. . ................. . . <br />rc ot persi,)n b,virig issued flue noticell <br />%Vhite Copy- Public W,,�.Yuks (,n„en ('(Ppy% FRC Ydkmw Copy- Rvpora Copy Pink CnjlyRvorlwul Gold Copy: OjYiver Appeal notu:(,- Re, 04J03 <br />