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NOTICE OF RESTRICTION OF USE 5U3L9 <br />and Notice of Right to Appeal <br />DATE _04 I TIME: CASE iq: <br />LOCATION WARK/OPEN SPACEY <br />V M 1,1UHM1414 M <br />notified that you are prohibited from (check box)-. <br />X <br />The basis for this Notice of Restriction of Use is that on <br />_042�� , you violated Section of the Park <br />and 0 en Space Rules, a /or Section of the Eugene Codc, 1971 and/or ORS qA 96 40 wit, y ou <br />TTI-r7l" 07 Lf <br />(Description of the violation.) <br />This restriction of use is effective beginning onj (0 19 1 and shall remain in effect untfl A _M <br />If you enter in or use any City ol'Eugene park, open space or facility during the cff�ctive period of this Notice, you may be <br />arrested and charged with criminal trespass in the second degree, <br />Pursuant to Park and (')pen Space R ule R- I . 074 you are entitl 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 & Open Space Division Director ("the Division Director") <br />within 48 hours (exclusive of'weekeridg) ofTeecipt 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 in fon hearing the Division Director will only <br />eons; �tl <br />ider tes uriony frorn you, City personnel involved in N <br />the incident that resulted in this otice, and other witnesses to the <br />incident The Division Director may exclude anyone, other than you and those presenting testimony, from the inform. al hearing. <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of Exclusion was delivered to the person n arned at the top ra thi Notice at the date and firne shown above by � <br />' (Si gnatu , per�son iss�uiw <br />,ld �k �7 oc) <br />I hereby acknowledge receipt of the above Notice on the date and tune indicated above. <br />(Signature of persona being issued the notice) <br />Whao Copy: Public Work, Grwn Copy Fi Ic yulklw Copy:, Rpm Copy Pink Copy Recipient Gold Copy Officer A speai notice Rev 041ff_§ <br />Name [,a.q First 4iddte <br />DOB� <br />Rac <br />U <br />Res Address: city <br />State <br />zip <br />Res_ Phme: <br />Wmk Plmne: <br />V M 1,1UHM1414 M <br />notified that you are prohibited from (check box)-. <br />X <br />The basis for this Notice of Restriction of Use is that on <br />_042�� , you violated Section of the Park <br />and 0 en Space Rules, a /or Section of the Eugene Codc, 1971 and/or ORS qA 96 40 wit, y ou <br />TTI-r7l" 07 Lf <br />(Description of the violation.) <br />This restriction of use is effective beginning onj (0 19 1 and shall remain in effect untfl A _M <br />If you enter in or use any City ol'Eugene park, open space or facility during the cff�ctive period of this Notice, you may be <br />arrested and charged with criminal trespass in the second degree, <br />Pursuant to Park and (')pen Space R ule R- I . 074 you are entitl 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 & Open Space Division Director ("the Division Director") <br />within 48 hours (exclusive of'weekeridg) ofTeecipt 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 in fon hearing the Division Director will only <br />eons; �tl <br />ider tes uriony frorn you, City personnel involved in N <br />the incident that resulted in this otice, and other witnesses to the <br />incident The Division Director may exclude anyone, other than you and those presenting testimony, from the inform. al hearing. <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of Exclusion was delivered to the person n arned at the top ra thi Notice at the date and firne shown above by � <br />' (Si gnatu , per�son iss�uiw <br />,ld �k �7 oc) <br />I hereby acknowledge receipt of the above Notice on the date and tune indicated above. <br />(Signature of persona being issued the notice) <br />Whao Copy: Public Work, Grwn Copy Fi Ic yulklw Copy:, Rpm Copy Pink Copy Recipient Gold Copy Officer A speai notice Rev 041ff_§ <br />