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NOTICE OF RESTRICTION OF USE <br />and Notice or Right to Appeal <br />3 qal Eoq Sgo <br />VI — bl<l <br />DATE� TIME: I0 CASE #: <br />LOCATION (PARK/OPEN SPACE).__Wa___------ea? <br />­j . ..... <br />notified that you are prohibited from (check box)- <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 --CL(—A\ VA you violated Section 10-144) the Park <br />and Open Space Rules, and/or Section of the Eugene Code, 1971, and/or ORS —. To wit, you:_ <br />Ic <br />(Description of the violation.) <br />This restriction of use is erfective beginning on and shall remain in effect until <br />--Q6 k � <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 info al hearing to contest this Notice. A request for an <br />informal hearing must be made in writing and filed with the Parks & (.)pen Space Division Director ("the Division Director") <br />within 48 hours (exclusive of weekends) of receipt of this Notice at the following address 1820 Roogevelt, Blvd, Eugene, OR <br />97402. <br />The D iv isign Director shal schedule a time and place for the inforn hearing to be conducted, which shal 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 D i v ision. Director may exclude anyone, other than you and those presenting testimony, trorn the informa I 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 />�LT� --------- — -------- -- <br />(S1gDU M <br />tUrC OFPOD ISSUIng/defivering notice) -- - <br />I hereby acknowledge receipt of the above Notice on the date and nine indicated above. <br />(Signature of $r, mein issued the notice) <br />White Copy: Pubfic WoTh Green Cojay: File Yellow Copy! Report Copy Pink Copy: Recipient GoAd Copy OMcur Appcal notice Rev- (01,03 <br />Namt Last First <br />C Nli <br />1)()B <br />� s -X <br />Ra -' <br />Res. AddresE City <br />itate <br />Zip <br />Rcs. Phone: <br />Work Phone <br />­j . ..... <br />notified that you are prohibited from (check box)- <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 --CL(—A\ VA you violated Section 10-144) the Park <br />and Open Space Rules, and/or Section of the Eugene Code, 1971, and/or ORS —. To wit, you:_ <br />Ic <br />(Description of the violation.) <br />This restriction of use is erfective beginning on and shall remain in effect until <br />--Q6 k � <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 info al hearing to contest this Notice. A request for an <br />informal hearing must be made in writing and filed with the Parks & (.)pen Space Division Director ("the Division Director") <br />within 48 hours (exclusive of weekends) of receipt of this Notice at the following address 1820 Roogevelt, Blvd, Eugene, OR <br />97402. <br />The D iv isign Director shal schedule a time and place for the inforn hearing to be conducted, which shal 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 D i v ision. Director may exclude anyone, other than you and those presenting testimony, trorn the informa I 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 />�LT� --------- — -------- -- <br />(S1gDU M <br />tUrC OFPOD ISSUIng/defivering notice) -- - <br />I hereby acknowledge receipt of the above Notice on the date and nine indicated above. <br />(Signature of $r, mein issued the notice) <br />White Copy: Pubfic WoTh Green Cojay: File Yellow Copy! Report Copy Pink Copy: Recipient GoAd Copy OMcur Appcal notice Rev- (01,03 <br />