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NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATE: (V TIME: — 1 1 � 1 4 ; – . CASE#: <br />LOCATION (PARK/OPEN SPACE): <br />11 <br />I il 111111 111 111 1 � 11 111 F il Ill JIIJ 1 1 Ill 11111 !!1 Il Ill !11111 Ill 1111 ill llll�� 11 <br />(Description of the violation.) <br />This restriction of use is effective beginning on–ahOLq-1 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 informal hearing to contest this Notice. A request for an <br />infortnal 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 />e Ivision D77 scne u e a Time place 77 InTortria nearing To De comucfea, Wnicil Mau DU INUIL MUM, Mail <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. I <br />(Signature of p/rY( iliffing/detivering notice) <br />I hereby acknowledge receipt of the above Notice on the data and time indicated above. <br />7 -- e -o� � <br />( Signatur <br />Signature of rson being issued the notice) <br />White Copy: Public Works Gkeerl File Yellow Copy: Report Copy Pink Copy; Recipient Gold Copy. Officer Appeal noticu Rev. 0403 <br />Na e: Last First Middle <br />DOB: <br />Raoc"'SeV <br />L EE <br />o— <br />Res, Address: City <br />State <br />Zip <br />Res. Phone: <br />Work Phone <br />11 <br />I il 111111 111 111 1 � 11 111 F il Ill JIIJ 1 1 Ill 11111 !!1 Il Ill !11111 Ill 1111 ill llll�� 11 <br />(Description of the violation.) <br />This restriction of use is effective beginning on–ahOLq-1 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 informal hearing to contest this Notice. A request for an <br />infortnal 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 />e Ivision D77 scne u e a Time place 77 InTortria nearing To De comucfea, Wnicil Mau DU INUIL MUM, Mail <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. I <br />(Signature of p/rY( iliffing/detivering notice) <br />I hereby acknowledge receipt of the above Notice on the data and time indicated above. <br />7 -- e -o� � <br />( Signatur <br />Signature of rson being issued the notice) <br />White Copy: Public Works Gkeerl File Yellow Copy: Report Copy Pink Copy; Recipient Gold Copy. Officer Appeal noticu Rev. 0403 <br />