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11ul ( i <br />NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATE: cx� ���,� <br />TIME: _ � � ._„� �? CASE #: /,Z - <br />LOCATION (PARK/OPEN SPACE): <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 ZZ you violated Section .---�' of the Park <br />and Open Space Rules, and/or Section <br />� t� <br />-� C � o. J x,7 11 <br />(Description of the violation.) <br />of the Eugene Code, 1971, and/or ORS 1114 To wit you: <br />�y <br />R <br />MA <br />r "I <br />This restriction of use is effective beginning on �� , and shall remain in effect until �� //'/ 41 0 <br />IREW <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 Notice at the date and time shown above by: <br />ell? <br />(Signature of person issuing/delivering notice) <br />T hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />z <br />, 4, <br />(Sign tore of person being 1ssWd notice) <br />!kite Copy: Public Works Green Copy: File Yellow Copy: Report Copy Pink Copy: Recipient Gold Copy: Officer Appeal notice Rev. 04/03 <br />Under the authority of Administrative order No. 58- 0324 -F and Park and open Space Rule R- 4.005(3), you are hereby <br />notified that you are prohibited from (check box): <br />