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NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DAT TIME: 1153 CASE 4: <br />LOCATION (PARKJOPEN SPACE): ( _ ) <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 you violated Section ly" of the Park <br />and Open Space Rules, and/or Section itn — <br />— ------ — of the Eugene Code, 1q71 * andfor ORS —. To wit, you: <br />C4 J V\ –f <br />(Description of the violation.) <br />This restriction of use is effective beginning on?"49� I and shall remain iu 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-t.074 you are entitled to an inkirmal 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 ofthis Notice at the following address: 1820 Roosevelt, Blvd., Eugene, Olt <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 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 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 narned at the top of this Notice at the date and time shown above by- <br />- - - --- - ------ <br />(Signature of person issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above., <br />-- d kwo <br />(Signature of person being issued the notice) <br />White Copy: Public WOF Gpeen Corry: File Yr :Ilow Copy: Reporl Copy Pink Copv: Recipient Gold C upy: Officur Appeal nadce Rev- W!03 <br />— --- ------- - <br />Name: Last Middle <br />D011: <br />R"C/Sex" <br />Res. Address: p <br />State <br />Zip <br />Res. Phone: <br />Work Phone: <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 you violated Section ly" of the Park <br />and Open Space Rules, and/or Section itn — <br />— ------ — of the Eugene Code, 1q71 * andfor ORS —. To wit, you: <br />C4 J V\ –f <br />(Description of the violation.) <br />This restriction of use is effective beginning on?"49� I and shall remain iu 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-t.074 you are entitled to an inkirmal 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 ofthis Notice at the following address: 1820 Roosevelt, Blvd., Eugene, Olt <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 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 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 narned at the top of this Notice at the date and time shown above by- <br />- - - --- - ------ <br />(Signature of person issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above., <br />-- d kwo <br />(Signature of person being issued the notice) <br />White Copy: Public WOF Gpeen Corry: File Yr :Ilow Copy: Reporl Copy Pink Copv: Recipient Gold C upy: Officur Appeal nadce Rev- W!03 <br />— --- ------- - <br />