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NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATI': TIME <br />LOCATION (PARK/0PEN SPACE): <br />notified that you are prohibited from (check box): <br />CASE 4: <br />k Entering in or using all City of Eugene parks, open spaces or facilities. <br />Cl <br />The basis for this Notice of Restriction of Use is that on -1-0 162 yo violated Section _Lt of the Park <br />and Open Space Rules, and/or Section of the Eugene Code, 1971, and/or ORS 11111 To wit, you:— <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall remain in effect until -0flM —V-. <br />If vou enter in or use any City of Eugene park, open space or facility during the effective period of` dais Noticul 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 arc entitled to an informal hearing to contest this Notice A request for all <br />in6orn hearing must be inside in writing and filed with the Parks & Open Space Division Director ("the Division Director") <br />within 49 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 6or the informal hearing to be conducted, which shall be not rnore, tharl <br />72 hours (CXCILISive of'weekends) of receipt of the request l'or hearing- At the i n lorinal hearing the Division Di rector will only <br />consider testimony born 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 I , 'Aclusion was delivered to the person earned at the top ofthis No t the date and tithe shown abcn bye� <br />I I W TO <br />—ok--A ---- -- . .... ... <br />(Signatu - e o flierson issuing, notice) <br />I hereby acknowledge receipt of the above Notice on the date and th indicated <br />1 0 4 <br />ofpersZi - i being issued the notice) <br />whirL, ( opy: pubi c wolt Gjeen('upv: Fikc Yelk)'V Copy: Repo] I Copy 1 0' 11 Recqmew� (44d Uop',: Offiicer A ppe ,I nolwr Jltw, 04 1W <br />Under theauthori(v of: dministr° tive Order' , 58-03-24-F and Park and Open Space Rule R-1,005(3), you are hereby <br />