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( d�!;- 1�6 �� -�� � NOTICE OF RESTRICTION OVUSE <br />and Notice of Right to Appeal <br />DATE. Pk <br />TIME 16 CASE <br />LOCATION (PARK/OPEN SPACE): <br />L MARMILMI <br />Entering in or using all City of Eugene parks, open spaces or facilities, <br />9 <br />(Description of the violation.) <br />This restriction of use is effective beginning on 0 and shall remain in effect until' <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 R talc. R - 1 .074 you are entitled to an informal hearing to contest this N oti cc. A reqkwsl for .111 <br />informal hearing must be made in writing and filed with the Parks & Open Space Division Director I ' "the Division Diroctor") <br />within 48 hours (exclusive of weekends) r i f t eceipt of this Notice at the following address: 182 Roosevelt, Blvd., Eugene, OR <br />97401 <br />The 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 preserfing 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 Notice at the date and time shown above by <br />L / <br />(Signature of person issuing/defivering nofice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above, <br />(Signature of person being issued the notice) <br />While Copy: Public works Green Copy: File Yellow Copy; Report Copy Pink Copy; Rucipiont G, Copy! Officer A ppea I notice Re4 . 04/03 <br />Name: Laql 11 1. inot e Middle <br />E�Av <br />L)OB: <br />z- qL <br />Racci <br />tj 7 <br />0. <br />- <br />Rcs. Addr city <br />Stake, <br />zip <br />Res. Phunc: <br />Work Phone <br />L MARMILMI <br />Entering in or using all City of Eugene parks, open spaces or facilities, <br />9 <br />(Description of the violation.) <br />This restriction of use is effective beginning on 0 and shall remain in effect until' <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 R talc. R - 1 .074 you are entitled to an informal hearing to contest this N oti cc. A reqkwsl for .111 <br />informal hearing must be made in writing and filed with the Parks & Open Space Division Director I ' "the Division Diroctor") <br />within 48 hours (exclusive of weekends) r i f t eceipt of this Notice at the following address: 182 Roosevelt, Blvd., Eugene, OR <br />97401 <br />The 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 preserfing 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 Notice at the date and time shown above by <br />L / <br />(Signature of person issuing/defivering nofice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above, <br />(Signature of person being issued the notice) <br />While Copy: Public works Green Copy: File Yellow Copy; Report Copy Pink Copy; Rucipiont G, Copy! Officer A ppea I notice Re4 . 04/03 <br />