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M, <br />The basis for this Notice of Restriction of Use is that on r <br />r you violated Section A 0/0 fthe Park <br />and Open Space Rules, andJor Section of the Eugene Code, 1971, and/or ORS To wit, you: <br />(Description of the violation.,) <br />This restriction of use is effective beginning on - 5 ' — IS " 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 Rule R- I , 074 you are entitl to an i n 6ornial hearin to contest this Notice. request for an <br />infr al hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Dirwor") <br />within 49 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 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 ftom you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the <br />incident. The Division Director mkv exclude anyone, other than you and those presenting testimony, front 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 />(Signature <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />f ers <br />p --t b issued (Signatur� O o : i�', �Ingv u d notice) <br />whir Cop : Publik: Works Green COPY! He Yeflow Coj�w! Report Copy. Pink Cupy, Re Apgt f k4d Uqiy: Offluctr ApIecat nuliee Rev 04,103 <br />NaiI Lagi HINT Middle DOB <br />Race/Sex: <br />U a <br />1 I <br />2: <br />ui <br />Res, Adcfress citv <br />State <br />Zip Res. Phone: <br />Work Phone <br />�7 <br />61 �W2 <br />.... .. ... .. <br />M, <br />The basis for this Notice of Restriction of Use is that on r <br />r you violated Section A 0/0 fthe Park <br />and Open Space Rules, andJor Section of the Eugene Code, 1971, and/or ORS To wit, you: <br />(Description of the violation.,) <br />This restriction of use is effective beginning on - 5 ' — IS " 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 Rule R- I , 074 you are entitl to an i n 6ornial hearin to contest this Notice. request for an <br />infr al hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Dirwor") <br />within 49 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 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 ftom you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the <br />incident. The Division Director mkv exclude anyone, other than you and those presenting testimony, front 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 />(Signature <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />f ers <br />p --t b issued (Signatur� O o : i�', �Ingv u d notice) <br />whir Cop : Publik: Works Green COPY! He Yeflow Coj�w! Report Copy. Pink Cupy, Re Apgt f k4d Uqiy: Offluctr ApIecat nuliee Rev 04,103 <br />