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NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATL __QSCQA__ TIME- CASE 9: <br />LOCATION (PARK/OPEN SPACE):__LQ <br />ff;;;141ntering in or using all City of Eugene parks, open spaces or facilities, <br />0 <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 />infrinnal 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 />The Division Director shall schedule a time and place for the inforttial hearing <br />, to be conducted, which shall be not Mom 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 ["Aclusion was delivered to the person named at the top of this Notice at the date and time shown above by: <br />(Signature of person nisstuimy/dclivering notice) <br />I hcreby acknowledge receipt of the above Notice on the date and time indicated above. <br />of person being issued the notice) <br />White Copy: Public Work; Qcen (_'apy. File YcHow Copy: rcpt rt Ct+ py Pink Copy: Recipient Gold Copy; CMEcer Appeal notice Rev 04/0 1 <br />Name: 9t First n I C <br />1]0B: <br />Race.,Sex: <br />CT, , J <br />- <br />Reg- Address: city <br />State <br />Zip <br />Res. Phone: <br />WoFk ne: <br />ff;;;141ntering in or using all City of Eugene parks, open spaces or facilities, <br />0 <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 />infrinnal 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 />The Division Director shall schedule a time and place for the inforttial hearing <br />, to be conducted, which shall be not Mom 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 ["Aclusion was delivered to the person named at the top of this Notice at the date and time shown above by: <br />(Signature of person nisstuimy/dclivering notice) <br />I hcreby acknowledge receipt of the above Notice on the date and time indicated above. <br />of person being issued the notice) <br />White Copy: Public Work; Qcen (_'apy. File YcHow Copy: rcpt rt Ct+ py Pink Copy: Recipient Gold Copy; CMEcer Appeal notice Rev 04/0 1 <br />