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NOTICE OF RESTRICTION OF USE
<br />and Notice of Right to Appeal
<br />DATE, o515 TIME: mm � CASE /q7
<br />LOCATION (PARK/OPEN SPACE)� PAaL<
<br />11 1111 Is 1111 11
<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 on you violated Section 0 &. ?the Park
<br />and Open Space Rules, and/or Section q, fO+ of the E RE9 e, 197 1, and/or CT To wit, you:_
<br />13
<br />(Description of the violation.,) 04 & 5pe;%--rdFty O-AA-Z��j r15
<br />This restriction of use is effective beginning on 05jS 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-1.074 you are entitled to an infornial 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 />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 presenting testimony, from the informal hearing.
<br />This Notice shall remain in effect pending any requested hearing,
<br />This Notice o Excl usi on was del ivered to the person narned at the top o Nh i q Noti cc at the date and time shown above by:
<br />(Signature of person issuingidefivering notice)
<br />I hereby acknowledge receipt of the above Notice on the date and time indicated above.
<br />ep t`perW �bem, issued the notice)
<br />Whilv, Copy: Puhlic Works (imcn, Copy File Yellow Copy: ReparT, Copy Pink Copy: Rucipiunt 6old Copy I (Affic cr Appea I notice Rn, 04iol
<br />Name: [.a.q First Middle
<br />DOB:
<br />Race ex
<br />-'
<br />Rcs. Address. city
<br />State 1
<br />Zip
<br />lie=s. Prime
<br />W ork Phone:
<br />. ...... ... . . . ...
<br />........ .... 1-
<br />11 1111 Is 1111 11
<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 on you violated Section 0 &. ?the Park
<br />and Open Space Rules, and/or Section q, fO+ of the E RE9 e, 197 1, and/or CT To wit, you:_
<br />13
<br />(Description of the violation.,) 04 & 5pe;%--rdFty O-AA-Z��j r15
<br />This restriction of use is effective beginning on 05jS 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-1.074 you are entitled to an infornial 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 />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 presenting testimony, from the informal hearing.
<br />This Notice shall remain in effect pending any requested hearing,
<br />This Notice o Excl usi on was del ivered to the person narned at the top o Nh i q Noti cc at the date and time shown above by:
<br />(Signature of person issuingidefivering notice)
<br />I hereby acknowledge receipt of the above Notice on the date and time indicated above.
<br />ep t`perW �bem, issued the notice)
<br />Whilv, Copy: Puhlic Works (imcn, Copy File Yellow Copy: ReparT, Copy Pink Copy: Rucipiunt 6old Copy I (Affic cr Appea I notice Rn, 04iol
<br />
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