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15A
<br />NOTI CE OF RFSTRICTION OF USE
<br />find Notice of Right to Appeal
<br />D ATE I
<br />TIME: CASE 4:
<br />LOCATION (PARK/OPEN SPACE):_
<br />Linder the authority of Administrative Order No. 58-03-24-11 and Park and Open Space Rule 11-1,005(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 />X
<br />The basis fior this Notice of Restrict ion of Il se is that on you violated Section $ U 4 ji of the Park
<br />j_j _
<br />and Open S pace Riles, and/or Section of the Lugene Code, 1971, and/or 0 RS To wit, you: WQU�
<br />r . .ss
<br />(Description of the violatiom)
<br />This restriction of use is effective beginning on and shall remain in effect until I I /ao /M
<br />Ifyou enter In or use any City of Eugene park, open space. or faeflity during the effective period ol'this Notice, you be
<br />arrested and charged with criminal trespass in the second degree,
<br />Pursuant 10 Park and Open Space Rule P - 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 (CXCILISive of weekends) of receipt of thisNotice at the following address. 1,820 Roosevelt, Blvd., Eta g !ene, OR
<br />97402.
<br />The Division Direclor shall schedule a time and place for the informal hearing to be conducted, which shall be not more than
<br />72 hours (exclusive of % of receipt of the request for hearing. At the informal hearing the Division Director will only
<br />consider teStinlOny 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, Fro the informal hearing,
<br />This Notice shall remain in effect pending any requested hearing.
<br />Phis Notice ofExclusion was delivered to the person named at tile top of " dai No tice: ca the date and time shown abo ve by:
<br />of person issuing"delivering notice)
<br />I hereby acknowledge reccipt of the above Notice on the date and time indicated ,
<br />b
<br />�S g ao
<br />', c erson being i,"sucd th�X lice)
<br />r
<br />Gs hiw ( upy- Pub] C Wol ks Gleca( File y0lov; Copy: Relson Copy Pink Copy Recipim (Jold ( opy- Officer AppeLAI ho ice lu:, 04!03
<br />Na w Last F i rs. t MIddle
<br />DOB�
<br />Racc,/Sex:
<br />mm
<br />Do J &
<br />Res. .Address; City
<br />State,
<br />Zip
<br />Re. 'Phone
<br />Work- Pfiorie:
<br />- vlvhiu)
<br />7
<br />Linder the authority of Administrative Order No. 58-03-24-11 and Park and Open Space Rule 11-1,005(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 />X
<br />The basis fior this Notice of Restrict ion of Il se is that on you violated Section $ U 4 ji of the Park
<br />j_j _
<br />and Open S pace Riles, and/or Section of the Lugene Code, 1971, and/or 0 RS To wit, you: WQU�
<br />r . .ss
<br />(Description of the violatiom)
<br />This restriction of use is effective beginning on and shall remain in effect until I I /ao /M
<br />Ifyou enter In or use any City of Eugene park, open space. or faeflity during the effective period ol'this Notice, you be
<br />arrested and charged with criminal trespass in the second degree,
<br />Pursuant 10 Park and Open Space Rule P - 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 (CXCILISive of weekends) of receipt of thisNotice at the following address. 1,820 Roosevelt, Blvd., Eta g !ene, OR
<br />97402.
<br />The Division Direclor shall schedule a time and place for the informal hearing to be conducted, which shall be not more than
<br />72 hours (exclusive of % of receipt of the request for hearing. At the informal hearing the Division Director will only
<br />consider teStinlOny 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, Fro the informal hearing,
<br />This Notice shall remain in effect pending any requested hearing.
<br />Phis Notice ofExclusion was delivered to the person named at tile top of " dai No tice: ca the date and time shown abo ve by:
<br />of person issuing"delivering notice)
<br />I hereby acknowledge reccipt of the above Notice on the date and time indicated ,
<br />b
<br />�S g ao
<br />', c erson being i,"sucd th�X lice)
<br />r
<br />Gs hiw ( upy- Pub] C Wol ks Gleca( File y0lov; Copy: Relson Copy Pink Copy Recipim (Jold ( opy- Officer AppeLAI ho ice lu:, 04!03
<br />
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