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�,\AAV;A %A Q " <br />NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATE-. 0 - ------------ TIME: D9_1 CASE <br />_J <br />-r A70, <br />LOCATION (PARK/OPEN SPAC E),�__ <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 />Entering in or using all City of Eugene parks, open spaces or facilities. <br />The basis for this Notice of Restriction of Use is that (in you v iolated Section Z, col the, 11 ;a rk <br />qand Open Space Rules, and/or Section of the Eugene Code, 197 and/or OWS Towit, you: ..................................... <br />-tic lk::;Tkwa�j <br />(Description ofthe violation.) <br />ro <br />This restriction of use is effective beginning on b V and shall remain in effect until 1DJZ�J15­' <br />If you enter in or Use any ity of Eugene park, open space or facility during the eff.ective period of this Notice, you may, b�e <br />arrested and charged with criminal trespass in the sceond degree, <br />Pursuant to Park and Open Space Rule R- 1.074 you are entitled to an informal hearing to contest this Notice. A request for am� <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 N'otice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Director shall schedule as time and place for the informal hearing to be conducted, which shall be not more than <br />72 hours (exclusive ofwcekends) 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 ineident that resulted in this Notice, and other witnesses to ffic <br />incident, The Division. Director may exclude anyone, otherthan, ylou and those presenting testimony, from the informal hearing. <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice Of EXCILIsimon was delivered to the person named at the top of this N tic tL; d time shown ahove by: <br />3 <br />(Signature ofpc son issuinghichvering noticL,l <br />I hereby acknowledge receipt of the above Notice on. the date and time indicated above, <br />orperson be i i sued the noticc) <br />ature of perso i <br />White- Copy� Public WorLs Grcy,,,in Copy: FAe YMwry Copy. Report Copy Pink CupRcopunit GoAd C opy�: Offh,,ur Appumf nutiuu Rtw, ifr4T.3 <br />