NOTICE OF RFSTRICTION OF USE <br />and Notice of Right to Appeal <br />DATE: TIME: y7ASE4 <br />LOCATION (1 SPACE). &L 0 04�5 <br />� ()Z7+ - -4- <br />Under the authority of . dministrative Order No. 58-03-24-F and n lark and Open Space Rule 3t-1.005(3), you are hereby <br />notified that you are prohibited from (check box): <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />and Open Space Rules, and/or Section L ij 7, '/0 of the Eugene Code, 1971, andtor ORS --, To wit, you:_ <br />o <br />The basis for this Notice of Restriction of Use is that on you violated Section D b r e Park <br />(Description of the violation.) <br />13 <br />This restriction of use is effective beginning on "7-5 and shall remain in effect until to <br />A J <br />If you enter in or use any City of Eugene park-, open space or facility during !he 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 itilormal hearing to contest this Notice. A request for an <br />infon hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Directsor <br />within 48 hours (exclusive ol'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 />(Signature of p 'sore issuing/del cring notice) <br />Naine. Last % First ?V c <br />1) Q13° <br />R11C I'S <br />X : <br />j Pl <br />Res. Addres City <br />State <br />Zip <br />ties P-o' e; <br />Work Phone: <br />� ()Z7+ - -4- <br />Under the authority of . dministrative Order No. 58-03-24-F and n lark and Open Space Rule 3t-1.005(3), you are hereby <br />notified that you are prohibited from (check box): <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />and Open Space Rules, and/or Section L ij 7, '/0 of the Eugene Code, 1971, andtor ORS --, To wit, you:_ <br />o <br />The basis for this Notice of Restriction of Use is that on you violated Section D b r e Park <br />(Description of the violation.) <br />13 <br />This restriction of use is effective beginning on "7-5 and shall remain in effect until to <br />A J <br />If you enter in or use any City of Eugene park-, open space or facility during !he 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 itilormal hearing to contest this Notice. A request for an <br />infon hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Directsor <br />within 48 hours (exclusive ol'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 />(Signature of p 'sore issuing/del cring notice) <br />