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NOTICE OF RESTRI(-,'TION OF USE 110�, 11 11'11� 11�1 <br />and Notice of Right to Appeal <br />DATI. TIME: -7 CASE,0!! <br />. ......... . . . ................ . . .... ........... . . . .... ---- -------- . . .......................... I ....... .. .. <br />L.,0CATION (PARK/OPEN SPIM,"E'l- W 11,5, Pi� <br />.... . . .. . ........... . .. ........ . . . . ....... . . . .............. 1-1 .. ........ . . . ........... . . . . . . .. ................ <br />Narne: La.st t- HT51 Middle DO B RaceSex� <br />k/ P <br />r 1( <br />Res, Address: city State Zip Res- Nione:� MIII Phone: <br />. . . .......... <br />LJnder the authority of Adrninistrative Order No.. 58-03-24-F and Park and Open Space Rule R-1.005(13), you Rre hereby <br />notified that you are prohibited from (check box) - <br />IN Entering in or using all City of Eugene parks, open spaces or facilities. <br />......................................................... . ................................ . . . . ..... . .. ........ . . . . ............................ . . ... . ................ . ................................. .. <br />The basis for this Notice of Restriction of Use is that on - z z) you violated Section ofthe Park <br />............ . . . ...... . <br />and Open Space Rules, and/or Section of the Eugene Code,, 1° 71, O,RS , To %vit., You . . ..... <br />------ - ------ <br />,e 0 iq III . . tr,/ <br />... .......... . . . ............... --- . . ...... . . . ............................................. .. . ..... . .... ... . . --. .............................................. ........ <br />(Description of the vioJation.) <br />', et U n t 11 10 - <br />This restriction of use is effective beginning on and shall remain in efft <br />......... . . <br />Ir you enter in or use any City of Eugene park, open space or facility during the. effective period of this Notice, you rnay be <br />arrested and chargecl with criminal trespass in the second degree. <br />Pursuant to Park and Open Space Rule R-1,074 you are entitled to an infr,:)ri:nal hearing to contIest this Notice. A ritx.jut.,st 11'i.,)r an <br />informal hearing must be made in writing and filed with the Parks & Open Space Division Direck'n ("the Division Director") <br />within 48 hours (excltisivc ol'weekends) of receipt of this Notice at the follow ingaddress:: 1820 Roosevelt', Blvd., Eugene, OR <br />97402. <br />The Division Director shall schedule a time arid place for the informal hearing: to be conducted, which shall be not rmire than <br />'72 hours (exclusive of weekends) of receipt ol'the request fair hearing, At the informal hearing the Division Director will Ionly <br />consider testimony from. you, City personnel inVrolved in the incident that resulted in this Notice, and other witnesses to, the <br />incident, The Division Direct(..)r rnay exclude anyonc, other than you and those presenting testimony, from the informal hearing, <br />This Notice shall rernain in effect pending any requested hearing. <br />This Notice or Exclusion was delivered to the person named at the top ofthis N otice at the (late and time shown abovic by: <br />.. . ...... . <br />......... . - . . . . ......... . . . . ................................... . ................... . . . . . . . . <br />f' it�au ut arc <br />ofpe!rson <br />I hereby acknowledge receipt of the above Notice on the date and time indicawd above. <br />(Signattire of I'wrs(.m beii,ig issucd the, notice) <br />Whae Cupyi Public Works f3rcen Copy� He Yellow Cupy : Rvpurl. Copy PIA C'opy; Rouip-ni (]old C'f.)ry: Dirrlzeii .,speed noGcr,, Rev. 04/0"; <br />