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I I � X )) �J=NL P- Scg� <br />NOTICE OF RESTRICTION OF USE ®� / <br />and Notice of Right to Appeal / `t Q <br />DATE: L) ( 6 J (' D TIME: (� CASE #: / ` V K 7 <br />LOCATION (PARK/OPEN SPACE): f (0 I (}- LINe 5T <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 />E �®rusing all City of Eugene arks, open spaces or facilities <br />The basis for this Notice of Restriction of Use is that on ®(o o f2 j , you violated cti n - - of the Park <br />and Open Space Rules, and/or Section of the Eugene Code, 1971, and/or ORS y �T0 wit, you: <br />i�PAss �� ► ', R* 04ak . c�s�� S � LIE 53 107 uf- MA�7u4'✓4 w� 0;-J /� ` or" Al <br />(Description of the violation.) <br />5chioot <br />This restriction of use is effective beginning on 06 0 3 It - , and shall remain in effect until 6 5P . <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: 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 Noti at the date and time shown above by: <br />WN <br />( ture of person issuing/delivering notice) <br />n I hereby acknowledge receipt of the above Notice on the date and time in Gate bove. <br />d l L 6 #q2y M t e lt /1( l WfS�Aj (Signa of rson eing issued j <br />[�L -(P - 7 � ( ( <br />White Copy: Public Works Green Copy: File Yellow Copy: Report Copy Pink Copy: Recipient Gold Copy: Officer Appeal notice Rev. 04/03 <br />e�p-j� <br />e: ast F' t Middle <br />DOB: <br />Race/S <br />c - Tow02 Lov <br />6q ®9 <br />Res. Address: City <br />State <br />Zip <br />Res. Phone: <br />Work Phone: <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 />E �®rusing all City of Eugene arks, open spaces or facilities <br />The basis for this Notice of Restriction of Use is that on ®(o o f2 j , you violated cti n - - of the Park <br />and Open Space Rules, and/or Section of the Eugene Code, 1971, and/or ORS y �T0 wit, you: <br />i�PAss �� ► ', R* 04ak . c�s�� S � LIE 53 107 uf- MA�7u4'✓4 w� 0;-J /� ` or" Al <br />(Description of the violation.) <br />5chioot <br />This restriction of use is effective beginning on 06 0 3 It - , and shall remain in effect until 6 5P . <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: 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 Noti at the date and time shown above by: <br />WN <br />( ture of person issuing/delivering notice) <br />n I hereby acknowledge receipt of the above Notice on the date and time in Gate bove. <br />d l L 6 #q2y M t e lt /1( l WfS�Aj (Signa of rson eing issued j <br />[�L -(P - 7 � ( ( <br />White Copy: Public Works Green Copy: File Yellow Copy: Report Copy Pink Copy: Recipient Gold Copy: Officer Appeal notice Rev. 04/03 <br />e�p-j� <br />