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<br />€ NOTICE OF RESTRICTION OF USE
<br />and Notice of Right to Appeal
<br />DATE: 1 1 7 ' ) TIME: Z 15 0 CASE #: /' 2,2- yer
<br />LOCATION (PARK/OPEN SPACE): Z I O b✓A5#U4 TD 1J 5T
<br />W�Sj�p ll��U/� :}C�f62Shc� S'T lrtrc
<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 tth you are prohibited from (check box):
<br />J� Entering in or using all City of Eugene parks, open spaces or facilities.
<br />✓❑`
<br />The basis for this Notice of Restriction of Use is that on 1 2, 1 71) you violated Section of the Park
<br />and Open Space Rules, and/or Section — /0 / / � of the Eugene Code, 1971, and/or ORS To wit, you:
<br />Po5sS" it Cb A,J ALCO D 8QW440 6 M-L- &
<br />X,4 7 WA5 /J 67, M72 Arr wz#sMLXrk,0D^r �', : r A) &
<br />(Description of the violation.)
<br />This restriction of use is effective beginning on 1 7i 1 71 , and shall remain in effect until ® 7I L
<br />If you enter in or use any City of Eugene park, open space or facility during the effective period of this Notice, you 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 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 (exclusive of weekends) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR
<br />97402.
<br />r ,
<br />``` Division Director shall schedule a time and place for the informal hearing to be conducted, which shall be not more than
<br />72 hours (exclusive of weekends) 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 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 N tice at the date and time shown above by:
<br />C
<br />(Signature of person issuin el'vering notice)
<br />I hereby acknowledge receipt of the above Notice on the date and time indicated a e.
<br />y
<br />a e of person be' sued the notice)
<br />White Copy: Public Works Green Copy: File Yellow Copy: Report Copy Pink Copy: Recipient Gold Copy: Officer Appeal notice Rev. 04103
<br />Name: Last First Middle
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<br />Res. Address: D M joy i aA&WG� City I State
<br />Zip
<br />Res. Phone:
<br />Work Phone:
<br />T14 45i a c�►c� �Profi -L'�b kloycvc b 2
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<br />G 0 D 0
<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 />notified tth you are prohibited from (check box):
<br />J� Entering in or using all City of Eugene parks, open spaces or facilities.
<br />✓❑`
<br />The basis for this Notice of Restriction of Use is that on 1 2, 1 71) you violated Section of the Park
<br />and Open Space Rules, and/or Section — /0 / / � of the Eugene Code, 1971, and/or ORS To wit, you:
<br />Po5sS" it Cb A,J ALCO D 8QW440 6 M-L- &
<br />X,4 7 WA5 /J 67, M72 Arr wz#sMLXrk,0D^r �', : r A) &
<br />(Description of the violation.)
<br />This restriction of use is effective beginning on 1 7i 1 71 , and shall remain in effect until ® 7I L
<br />If you enter in or use any City of Eugene park, open space or facility during the effective period of this Notice, you 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 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 (exclusive of weekends) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR
<br />97402.
<br />r ,
<br />``` Division Director shall schedule a time and place for the informal hearing to be conducted, which shall be not more than
<br />72 hours (exclusive of weekends) 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 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 N tice at the date and time shown above by:
<br />C
<br />(Signature of person issuin el'vering notice)
<br />I hereby acknowledge receipt of the above Notice on the date and time indicated a e.
<br />y
<br />a e of person be' sued the notice)
<br />White Copy: Public Works Green Copy: File Yellow Copy: Report Copy Pink Copy: Recipient Gold Copy: Officer Appeal notice Rev. 04103
<br />
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