NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATE: TIME: - 0 CASE 4: <br />LOCATION (PARK/OPEN SPACE) <br />I'll A U j I V` J77.7M=ff7rr7 <br />NVIV OvT <br />notified that you are prohibited from (check box): <br />14 Entering in or using all City of Eugene parks, open spaces or facilities. <br />X <br />The basis for this Notice of Restriction of Use is that on - 7 you violated Section _ 4 <br />. . .......... f the Park ......... t!j <br />and Open Space Rules, andlor Section 0 P? of the Eugene Code, 1971, and/or ORS e, To wit, you-_ <br />5— ' AF j VI&W <br />(Description of the violation.) <br />This restriction of use is effective beginning on--7-Y—, 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- I , 074 you are entitled to an info al hearing to contest this Notice, A request For an <br />informal hearing must be made in writing and Mad with the Parks & Opcn Space Division Director ("the Division Director") <br />within 48 hours (exclusive of weekends) of receipt of this Notice at the following address: 1820 Roosevelt, lid ®, 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 fear 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 nray exclude anyone, other than you and those presenting teqtimony, 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 the date and time shown above by: <br />_/7 At T A' 71' <br />_ - ------------------- 11 <br />(Signature of person issuing/delivering notice) <br />Name: Last Middle <br />DOB <br />I /, 1 57 <br />Race, <br />ICIZ <br />City <br />Res Addres City <br />State <br />Res, phaae: <br />Work Phonc: <br />I k� I-- <br />I'll A U j I V` J77.7M=ff7rr7 <br />NVIV OvT <br />notified that you are prohibited from (check box): <br />14 Entering in or using all City of Eugene parks, open spaces or facilities. <br />X <br />The basis for this Notice of Restriction of Use is that on - 7 you violated Section _ 4 <br />. . .......... f the Park ......... t!j <br />and Open Space Rules, andlor Section 0 P? of the Eugene Code, 1971, and/or ORS e, To wit, you-_ <br />5— ' AF j VI&W <br />(Description of the violation.) <br />This restriction of use is effective beginning on--7-Y—, 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- I , 074 you are entitled to an info al hearing to contest this Notice, A request For an <br />informal hearing must be made in writing and Mad with the Parks & Opcn Space Division Director ("the Division Director") <br />within 48 hours (exclusive of weekends) of receipt of this Notice at the following address: 1820 Roosevelt, lid ®, 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 fear 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 nray exclude anyone, other than you and those presenting teqtimony, 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 the date and time shown above by: <br />_/7 At T A' 71' <br />_ - ------------------- 11 <br />(Signature of person issuing/delivering notice) <br />