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<br />NOTICE OFRESTTION USE
<br />and Notice of RiRICOF ght to Appeal
<br />L
<br />DATE
<br />..... . .. .... I
<br />'TIME: i, , a_
<br />. ... . ................. - � ", C) . .... . . . . ........... CASE
<br />t
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<br />I.,OC"ATION (PARKjOPEN SPAC'L-,"):
<br />Under the authority of Administrative Order No. 58-03-24-Fand Park, and Open Space Rule 144.005(3), you are hereby
<br />notified that you are prohibited rrorn (check box ) -
<br />0 Entering in or using all City of Eugene parks, open spaces or faciliti",,
<br />11 . ............................... ......................... . . . . . ............... . ........ . . ......................................... . ........ . ......... ... . . . ........ . .. .. .. .. .......... --.1-1- 11
<br />The basis for this Noitice orf` pest n.ction ol'Use is that on --- 0-1, .... a . . .. . . . . ............ , you violated Section -1d 0.1--a .......... of . 1,1110 Park
<br />and Open Space Rules, and/or Section,
<br />(Description of theviolation.)
<br />of the Eugene Codc., 1971., and/or ORS
<br />31o� Te
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<br />`I'his restriction of use is effective beginning on and shall remain in effect until I- 9VII�
<br />—cffiffly ...................... —W --O
<br />if you enter in or use any City of Eugene park, open space or facility during the effective period of` this Notice, you may ble-
<br />arrested and charged with criminal tre.,,pass 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 Notiice% A req1ij1u,.,,A for ani
<br />inforinal hearing must be made in writing and filed with the Parks & Open Space Division Director (16tfw Division Director")
<br />within 48 hours (exclusive ol'weekends) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR
<br />97402.
<br />The Division Director shall schedule a time and place, for the inf6rinal hearing to be conducted, whit -h ,hall be inot more than
<br />72 hours (exclusive of wcckends) of receipt of the request For hearing. At the infornial hearing, the Divisimi Director will only
<br />consider testimony from You, 0ty personnel involved in. the incident that resulted in this N(xice, and r,ather witnesses to the
<br />incident, The Division 1)irc-ctor may exclude anyone, other than you and those presenting teslimony, [rmn the inform,,fl hearing.
<br />'Fhis Notice shall remain in effect pending any requested hearing.
<br />'This Ys ofice of'Exclusum was delivered to the Person earned at the top of this Notic- the date uru.l intiv, shown above by --
<br />otic, '1he date
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<br />of
<br />(Sigi n. cof person issuing./delivering notice)
<br />I hereby acknowledgic roceipt ofthe above Notice on the date and time lndica(4ye,
<br />(Signature (,J'person being, issued the notice)
<br />wroiit (qpy � !I lubl ru wkxk;: Uruvn FOi Y dlku w Copy. Relmmi Copy Fmk C.bpy� Recipiein; oA G;.qp y of fll; v r A lei. iI in ca [ P"". ,, 0,Vr) 4
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