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511 U LPZ4 <br />NOT ICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATE., 0(0-2-0 TIME� t VT CASE 4 <br />LOCATION (PARK/0PEN SPACE): INJAe%R <br />t <br />,qo <br />�-e <br />, -GOO NQ <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 the R-1.074 you are entitled to an infon hearing to contest this Notice, A request for art <br />informal hearing in be made in writing and filed with the Parks & Open Space Division Director ("the Division Director".) <br />within 48 hours (CXCJUSiVC orweekends) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />72 hours (exclusive of weekends) of receipt of the request for hearing. At the informal hearing the Division Director will on, <br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to t <br />incident. The Division Director may exclude anyone, other (han you and those presenting testimony, from the informal licarin <br />This Notice shall remain in effect pending any requested hearing. "I <br />This Notice of Exclusion was delivered to the person named at the top o[th:1% Notice fie date tirne shown above by: <br />(Signature of person issuing/delivering nonce) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above, <br />................................ <br />(Signature of person being is-sued the notice) <br />Wh i I C Copy: Pub I ic Wo rL, Green Copyi Ele Yellow Copy: Report Copy Pink Copy; Recipiew (sold Copy: Offices Appual jwrheo Re. 04 M, <br />Naine: Last First 'kliddle <br />D01�: <br />Race/ <br />AA <br />Res Akhfre� , s - City <br />State <br />........... .... ... .... .. . ......... . .... ...... .... <br />Zip <br />Res. Phone: <br />WoTk Phone: <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 the R-1.074 you are entitled to an infon hearing to contest this Notice, A request for art <br />informal hearing in be made in writing and filed with the Parks & Open Space Division Director ("the Division Director".) <br />within 48 hours (CXCJUSiVC orweekends) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />72 hours (exclusive of weekends) of receipt of the request for hearing. At the informal hearing the Division Director will on, <br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to t <br />incident. The Division Director may exclude anyone, other (han you and those presenting testimony, from the informal licarin <br />This Notice shall remain in effect pending any requested hearing. "I <br />This Notice of Exclusion was delivered to the person named at the top o[th:1% Notice fie date tirne shown above by: <br />(Signature of person issuing/delivering nonce) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above, <br />................................ <br />(Signature of person being is-sued the notice) <br />Wh i I C Copy: Pub I ic Wo rL, Green Copyi Ele Yellow Copy: Report Copy Pink Copy; Recipiew (sold Copy: Offices Appual jwrheo Re. 04 M, <br />