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1 : 1 1 PION FBI` 135 11 11 ��� I <br />s . <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 _d - 7 / - you viotated Section/ of the Park <br />f 4 .......... . , I Xdy <br />and Open Space Rules, and/or Section — o the Eugene Code, 1971, and/or ORS 0�7Y J79 V � To wit, you: <br />(Description of the violation.) <br />This restriction of use is effective beginning on 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 infonnal 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 l'ollowing address: 1820 Roosevelt, Blvd., Eugene, OR <br />97401 <br />The Division Director shall schedule a time and place for the info al hearing to be conducted, which shall be riot more than <br />72 hours (exclusive of weekends) of receipt of the request for hearing. At the info al 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 of Exc I usion was del ivered to the person named at the top of this N otice at the date and tithe shown above by: <br />(Signature of person issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(Signature ol'person being issued the notice) <br />White Copy Public Works Green Copyi File yellow Ckypy, Pcpor Copy Pink Copy: Recipient pient G Ad Copy: Offi r or Apjja I notic e Rev, 04V <br />Name: Last First Middle <br />A V1, r <br />D013: <br />/— �/,— <br />IZa�e sex. <br />cn� <br />Res. AdII City <br />* <br />State <br />0 <br />Z' <br />7 <br />1 7 1 VKM <br />Res, Phone: <br />— <br />Work Phone; <br />1 I <br />1 : 1 1 PION FBI` 135 11 11 ��� I <br />s . <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 _d - 7 / - you viotated Section/ of the Park <br />f 4 .......... . , I Xdy <br />and Open Space Rules, and/or Section — o the Eugene Code, 1971, and/or ORS 0�7Y J79 V � To wit, you: <br />(Description of the violation.) <br />This restriction of use is effective beginning on 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 infonnal 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 l'ollowing address: 1820 Roosevelt, Blvd., Eugene, OR <br />97401 <br />The Division Director shall schedule a time and place for the info al hearing to be conducted, which shall be riot more than <br />72 hours (exclusive of weekends) of receipt of the request for hearing. At the info al 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 of Exc I usion was del ivered to the person named at the top of this N otice at the date and tithe shown above by: <br />(Signature of person issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(Signature ol'person being issued the notice) <br />White Copy Public Works Green Copyi File yellow Ckypy, Pcpor Copy Pink Copy: Recipient pient G Ad Copy: Offi r or Apjja I notic e Rev, 04V <br />