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NOTICE OF RESTRICTION OFAJS�� <br />and Notice of Right to Appeal <br />ADATE: 07 .A S . . ....... . .................................... . . TIML CE . . . .................. . .......... . . . ...... <br />LOCATION (PARK/OPEN SPACE): <br />Under the authority of.Administrative Order No. 58-03-24-F and Park and Open Space Rule R 1.005(3),, yorar are ha-eby <br />notified that you are prohibited from (check box): <br />XEntering in or using all City of Eugene parks, open spaces or facilities, <br />0 <br />'The basis for this Nodce c)f Restriction of."Use is that on o— 8-15 -, <br />................. I you violatedSectiors. Z wo uftlie Park <br />and Opcn Space ,Rules and/or Section Yk1gc ne 0 ofthe E <br />MAIM, <br />1971, and/or, OR <br />To Wit, <br />(Description ofthe viokition.) <br />"this restriction of use is effective beginning on 6WI —15- , and shall remain in effect until A) <br />Ifyou enter in or use any City of Eugcne park, open space or fiacihty during the effective oaf this Notiioc, you may be <br />arrestedand charged with criminal trespass in the second dugree. <br />Pursuant to Park and Open Space Rule 84.074 yroU are entified to an intonual hearing to contest this Notice, A request for an <br />infomial hearing merest be made in Writing and filed with the Parks & Open Space Division Director ("the Division Direc;lor") <br />within 48 hours (exclusivee of weekends of receipt of this Notice at the f6llowing address: 1820 Roosevelt, 131vd., Eugene, OR <br />97402. <br />The Division Dircefor shall schedule a tirrie and place for the inIbmial hearing to be conducted, which shall be not iniore than <br />72 hours (exclusive of weekends) of receipt of the teqUeSt for hearing. At the informal hearinl the Division Director %vill only <br />consider testirno,iny frorn you, City personnel involved in the incident that resulted. in this Notice, and other witnesses to Thit, <br />6icidenl. The Division Director rnay exclude anyone, other than you and those Presenting testimony, froin the infi.)rrn°,d hean'n& <br />This Notice shall remain in effect pending any requested hearing. <br />'This Notice of Exclusicm. was delivered to the person narned at the top of this otic d tir 2 ShOwn lblovu lhy�. <br />L 7,jd -d�4 <br />(Signature pf..r-erspis,sa,iinigdelivering notice) <br />1 It Lreby aicknoMedge recipl of the above Notice on the data: and linic indicated <br />Of PcIon being iss"ded'the noticc) <br />What, Cupy: N.ihNc Works (Jrmn Cvpy7 He YJhm- Cupy� Repoil. Copy Nnk Copy: Rmpent Gold CfppjOfficer App eid nokx pkv v. M'03 <br />