NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATE: TIMEi 0 r. ASE #.- <br />LOCATION (PARK/OPEN SPACE). PAV—K — ------ <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005(3), you are hereby <br />notined that you are prohibited from (check box): <br />X Entering in or using all City of Eugene parks, open spaces or facilities. <br />M <br />The basis for this Notice of Restriction of Use is that on I y ou violated Section i4lo—ofthe Park <br />and Open Space Rules, and/or Section — o C <br />f the Eugene ode, 1971, andlor ORS . To wit, yau=_ <br />­­ P05-S!5SS P MArZiY_LA1 <br />Pursuant to Park and Open Space Rule 8-1.074 you are entitled to an informal hearing to contest this, Notice. A request for an <br />L, <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 infconnal hearing to be conducted, which shall be not more than <br />72 hours (cxclivL of weekends) oC receipt of the request for hearing. At the infornial 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 />--------__---- -- - ---- ------- - ----- - <br />(Signature ol'person issuing/ delivering notice) <br />Names Last First Y c <br />13URAP� AA r2 o tv 46 W <br />DOB <br />3 e)q <br />b� <br />Rell�� ddress <br />�A 2- cit N 6 <br />V_ State <br />4,99497 <br />zi p <br />Res. Ph one: <br />Work Phone <br />- <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005(3), you are hereby <br />notined that you are prohibited from (check box): <br />X Entering in or using all City of Eugene parks, open spaces or facilities. <br />M <br />The basis for this Notice of Restriction of Use is that on I y ou violated Section i4lo—ofthe Park <br />and Open Space Rules, and/or Section — o C <br />f the Eugene ode, 1971, andlor ORS . To wit, yau=_ <br />­­ P05-S!5SS P MArZiY_LA1 <br />Pursuant to Park and Open Space Rule 8-1.074 you are entitled to an informal hearing to contest this, Notice. A request for an <br />L, <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 infconnal hearing to be conducted, which shall be not more than <br />72 hours (cxclivL of weekends) oC receipt of the request for hearing. At the infornial 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 />--------__---- -- - ---- ------- - ----- - <br />(Signature ol'person issuing/ delivering notice) <br />