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NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATF: o6-2 6- \ TIME: <br />N, <br />CASE #: <br />LOCATION (PARK/0PEN SPACE): U� <br />�- � Wv, ��L <br />M <br />(Description of the violation.) <br />This restriction of use is effective beginning on Z) 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 following addresq. 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 la exclusive of weekends) of receipt of the request for hearing. At the informal hearing the Division Director will only <br />consider testirriony 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 Exclusion was delivered to the person named at the top of this Notice at date and 'me shown above by: <br />(Signature" ol'perqon is. 'oung/delivering no ice) <br />I hereby acknowledge receipt of the above Noticc on the date and time indicated above, <br />(Signature of person being issued the notice) <br />While Copy, Public Works Green Copy� File Yellow Copy ReVmrl Copy Pink Cur, , RoJpiem GuTd Copy, Offiva AFPpc nodcc Re, %,, 04/0 A <br />Name: Last First Middle <br />DOB: <br />SAA <br />AA <br />:4 <br />Res. Address: City <br />State <br />Zip <br />Phow: <br />Work Phone: <br />. .. ....... ...... <br />- - - ------------------------- <br />M <br />(Description of the violation.) <br />This restriction of use is effective beginning on Z) 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 following addresq. 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 la exclusive of weekends) of receipt of the request for hearing. At the informal hearing the Division Director will only <br />consider testirriony 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 Exclusion was delivered to the person named at the top of this Notice at date and 'me shown above by: <br />(Signature" ol'perqon is. 'oung/delivering no ice) <br />I hereby acknowledge receipt of the above Noticc on the date and time indicated above, <br />(Signature of person being issued the notice) <br />While Copy, Public Works Green Copy� File Yellow Copy ReVmrl Copy Pink Cur, , RoJpiem GuTd Copy, Offiva AFPpc nodcc Re, %,, 04/0 A <br />