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NOTICE OF RESTRICTION OF USE <br />DATE: <br />LOCATION (PARK/OPEN SPACE): <br />and Notice of Right to Appeal <br />TIME� <br />CASE <br />M3 <br />Under the authoritv of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005(3), you are hereby <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />El <br />The basis for this Notice of Restriction of Use is that on a �,( �t , you violated Section I & 1 0 of the Park <br />and Open Space Rules, andfor Section of the Eugene Code, 1971, and/or ORS . To wit, you: <br />CVO (G C�) i-A <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall remain in effect until Q Z�D <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 (eXCILISiVC 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 />�tmj <br />( Sig na ture of person i notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />Name: Last Virst M iddle <br />D O B: <br />Race/Sex: <br />A <br />l <br />U <br />Res. Addr city <br />State <br />Zip <br />,p <br />Res, Phone: <br />Work Phone: <br />M3 <br />Under the authoritv of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005(3), you are hereby <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />El <br />The basis for this Notice of Restriction of Use is that on a �,( �t , you violated Section I & 1 0 of the Park <br />and Open Space Rules, andfor Section of the Eugene Code, 1971, and/or ORS . To wit, you: <br />CVO (G C�) i-A <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall remain in effect until Q Z�D <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 (eXCILISiVC 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 />�tmj <br />( Sig na ture of person i notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />