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NOTICE OF RESTRICTION OF USE :�Z'* r� - O " <br />and Notice of Right to Appeal U L (7 <br />DATE: D (922Lt TIME: t `t 5- jj CASE #: J " J Q l 1' <br />-OCATION (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), you are hereby <br />notified that you are prohibited from (check box): <br />4 — 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 9 , _ 0 j /,of the Park <br />an pen Space Rules, and/or Section q, I ' � - Y O of the Eugene Code, 1971, and/or ORS To wit, you: <br />7 �i5 <br />I d t <br />(Description of the violation.) <br />This restriction of use is effective beginning on Ob -- 11 , and shall remain in effect until 7 cU l . <br />f 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: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <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 Not' a at the date and time shown above by: <br />Ls <br />(Si a of person issuing /delivering notice) <br />I hereby acknowledge receipt of the above Notice on, the date and time indicate&al <br />C <br />(i afore of pd son being issued the notice) <br />White Copy: Public Works Green Copy: File Yellow Copy: Report Copy Pink Copy: Recipient Gold Copy: Officer Appeal notice Rev. 04/03 <br />�a <br />Name: Last Viddle <br />DOB: <br />Race /Sex: <br />S fC <br />r/ ✓ � <br />Res. Ad ss City <br />State <br />Zip <br />Res. Phone: <br />Work Phone: <br />� —rYlil S � (L✓ l <br />Under the authority of Administrative Order No. 58- 03 -24 -F and Park and Open Space Rule R- 1.005(3), you are hereby <br />notified that you are prohibited from (check box): <br />4 — 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 9 , _ 0 j /,of the Park <br />an pen Space Rules, and/or Section q, I ' � - Y O of the Eugene Code, 1971, and/or ORS To wit, you: <br />7 �i5 <br />I d t <br />(Description of the violation.) <br />This restriction of use is effective beginning on Ob -- 11 , and shall remain in effect until 7 cU l . <br />f 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: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <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 Not' a at the date and time shown above by: <br />Ls <br />(Si a of person issuing /delivering notice) <br />I hereby acknowledge receipt of the above Notice on, the date and time indicate&al <br />C <br />(i afore of pd son being issued the notice) <br />White Copy: Public Works Green Copy: File Yellow Copy: Report Copy Pink Copy: Recipient Gold Copy: Officer Appeal notice Rev. 04/03 <br />�a <br />