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NOTICE OF RESTRICTION OF USE <br />10 & 14A4 <br />DATE: OV3o/ TIME: <br />1 e l o,- /3- YZ/70 <br />CASE 4: — 13 71542— <br />OAKI 6T <br />1 <br />Under the authority of Administrative )rder No. 58-03-24-F and Park and Open Space Rule R-L(105(3), you are hereby <br />notified that you are prohibited from (check box): <br />X <br />The basis for this Notice of Restriction of Use is that on you violated Section of the Park <br />and Op <br />Fri Space Rules, and/or Section of the Eugene Code,, 1971, and/or ORS �75a To it, you: <br />(Description of the violation.) <br />This restriction of use is effective beginning on 0 0 1 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, you may be <br />arrested and charged with criminal trespass in the second degree. <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 info al 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' the date and time shown above by: <br />a r p erson (Signat re of person issuing/delivering notice) <br />I hereby acknowledge, receipt of the above Notice on the date and time indicated above. <br />(Signature of person being issued the notice) <br />WhAc (opy, Public WorkN Gwen Copy: File Yellow Copy: Report Copy Pink CupyL Recipient Gold Copy: orricer Appeal notice Rev. 04.103 <br />Name: Last First Middle <br />VAL5 AA <br />DOB: <br />os-10`75 <br />tt aye' <br />H_ <br />RC-s A d d r c City <br />"BAILE'LLN <br />stake <br />44Ift)l <br />jz(°S- 1 <br />qi - 733q <br />Work Phone: <br />1 <br />Under the authority of Administrative )rder No. 58-03-24-F and Park and Open Space Rule R-L(105(3), you are hereby <br />notified that you are prohibited from (check box): <br />X <br />The basis for this Notice of Restriction of Use is that on you violated Section of the Park <br />and Op <br />Fri Space Rules, and/or Section of the Eugene Code,, 1971, and/or ORS �75a To it, you: <br />(Description of the violation.) <br />This restriction of use is effective beginning on 0 0 1 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, you may be <br />arrested and charged with criminal trespass in the second degree. <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 info al 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' the date and time shown above by: <br />a r p erson (Signat re of person issuing/delivering notice) <br />I hereby acknowledge, receipt of the above Notice on the date and time indicated above. <br />(Signature of person being issued the notice) <br />WhAc (opy, Public WorkN Gwen Copy: File Yellow Copy: Report Copy Pink CupyL Recipient Gold Copy: orricer Appeal notice Rev. 04.103 <br />