NOTICE OF RESTRICTION OF USE <br />and Notice. of Right to Appeal <br />DATE: G , t � � � � TIME: � � � l CASE #: <br />e, -4 0 3y389 <br />LOCATION (PARK/OPEN SPACE): t4 /�.'� 63foc1 12 O <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />The 'basis for this Notice of Restriction of Use is that on , you violated Section of the Park <br />and S Open ace Rules, and/or Section 4 .'l IL 6 of the Eugene Code, 1971 ; and/or ORS To wit, you: <br />p P <br />(Description of the violation.) <br />10 Z . O s it remain in effect until [, ; e This restr�ct�on of use �s effective beg�nn�ng on and ha R <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 be <br />arrested and charged with 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 request for an <br />informal hearing must be made in writing and filed with the Parks & Open Space Division Director ( "the Division Director ") <br />within 48 hours (exclusive of weekends) of receipt of this Notice at the following address: 1824 Roosevelt, Blvd., Eugene, DR <br />9'402. <br />The Division Director shall schedule a time and place for the informal hearing to be conducted, which shall be not more than <br />72 hours (exclusive of weekends) of receipt of the request for hearing. At the informal hearing the Division Director will only <br />consider testimony from you, City personnel involved in the incident that resulted in this ]notice, and other witnesses to the <br />incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the informal hearing. <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 of this Notice at the date and time shown above by: <br />5 cwv V•�.�. i �,y <br />(Signature of person issuing /delivering notice) <br />1 hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(Signature of person being issued the notice) <br />File Yellow Cop Re ort'Co y Pink Copy: Recipient Gold Copy: Officear.APO� it noticer����' ' Rev. �41Q3 <br />White Cagy: Public Works Green Cop PY P P <br />Under the authority of Administrative order No. 58- 03 - -F and Park and Open Space Rule R- 1.005(3), you are hereby <br />notified that you are prohibited from (check box): <br />