-7 <br />NOTICE OF RESTRICTION OF USE <br />7 <br />9 3 r. <br />and Notice of Right to Appeal <br />AW U <br />DATE: TIME: � CASE #: �f S�S <br />LOCATION (PARK/OPEN SPACE): 2(D � <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 _Q "6 <br />f.� ,you violated Section Q1 of the Park <br />and Open Space Rule, and/or Section , ��U of the Eugene Code, 1971 , and/or ORS To wit, you: <br />U <br />EWA <br />(Description of the violation.) <br />r <br />This restriction of use is effective beginning on and shall remain in effect until <br />If you enter in or use any City of Eugene park, open space or facility during the effective 'period of this Notice o <br />p , you maybe <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 o contest this Notice... AA: re <br />g quest for an <br />informal hearing must be made; iii!writing and filed with the Parks..& .. pen Space Iivision Director "the Division " <br />( son Director ) <br />wit <br />97402. hin 48 hours (exclusive of eekends) of receipt of this Notice at the followin address: ess :1820 Roosevelt, Blvd., Eugene, OR <br />The Division Director shall schedule a time and place for the informal hearing to be conducted which shall be <br />not more than <br />72 hours (exclusive of weekends) of receipt of the request for hearing. At the informal hearing he Division Director w ill only <br />consider testimony from you, City personnel involved in the incident that resulted in this Notice and other witnesses <br />s o the <br />incident. The Division Director -may exclude anyone, other than you and those presenting testimony, from. the info ' <br />g y, anal 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 the date and ti e shown above by: <br />(Signa�ure)of person issuing /delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />i' <br />IN <br />z (S <br />gnure o person being issu f ice) <br />bite Copy: Public Works Green Copy: File Yellow EC y: Report Copy Pink Copy: Recipient Gold Copy: Officer Appeal notice Rev. 04103 <br />Under the authority of Administrative order No. 58- 03 -24 -F and Park and open Space Rule R -1.005 3 you a <br />A � ], y re hereby <br />notified that you are prohibited from (check box): <br />