NOTICE OF RESTRICTION OFUSE <br />and Notice or Right to Appeal <br />DATE. D712 - Tl M E: z 4 Z— CASE 7,-3 9c) <br />.. ........ . . - I . . .. . . ......................... . . . . . . . . . . . . . .......... . . . . . ........................ . . . . ................ .. . . . . . ............................................ ............. .. . . . . . . . . . . . . . . . <br />LOCATION (PIARK/OPFN SPACE):_ LJ65r"k-k- &-ADCk-S <br />....... . . . . . .... .................. . . . . . . r .................................... .... . . . . . . . . . . . . ........... ............................ . . . . . . . . . . . . ............ . . . . . <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 />notified that you are prohibited from (check box). <br />Xk 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 you violaled Section A . ...... 1?.J.C) of the Park <br />...... ...... <br />47� <br />and Open Space Rules, and/or Section j T'f the Eugene (-"odc, 197 1, and/or ORS Towit" <br />'c ipt_�; <br />i <br />This restriction of use is effective beginning on DiZIPL, and shall remain in effect unt4b <br />ffyou enter in or use any City of Eugene park, open space or facility during the effomivc perio�,J nfthis Notice, yo.0 tmiy be <br />an ested and charged with criminal trespass in the second degree. <br />Pursuant to Park arid Open Space Rule R-1 .074 you are entitled to an informal ficaring to contest this Notice. A request fbr an <br />int-ormal hearing must be imide- in writing uric] filed with the Parks & Open Space Division Director ("'the Division Director") <br />within 48 hours, ('Cxclusive 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 tirne and place for the infortnal, hearing to be conducted, wfiichshall be not miore U'ian <br />72 hours (CXCILISiVC ofweekends) of receipt of the request for hearing. At the infbf-mal hearing the Division Director 'will only <br />consider testirriony fihnn you, City personnel involved in the incident that resulted in tlns� Notice„ and other witnesses to the <br />incident. The Division Oirector Tnay exclude anyone, other than you and those presenting te.stirnony, fh.)m tfv,',• informal hiearirig. <br />'This Notice shall rernam in effect pending any requested hearing. <br />This Notice of Exclusion was delivered to the person named at the top of this Notic Rile shoWn abovic by, <br />b <br />.............. - --------- ---------- - ..... ... ....... . . . . ........... ..... .... .... <br />(Signature ot"per, )tl 11,sIM V ed ng not r ce <br />I hereby ack nowled ge receipt o F the above. Notice on the date and tine indicated WL-sov e, <br />d the notico <br />('Signature ol'person I c <br />White Cupy Pahlik! W(As Green. CopyF& Yellow ("upy: Reporl Copy Pink C'opRcovicrIL ( 4)ld Copy: Gtfirvy Lhppeall noftce Ruv, LAACO <br />