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y <br />. TT F _ RFSTRIc'nON OF USE AJ5 t 1!� <br />and otice of Right to Appeal <br />DATE: TIME: CASE#: <br />LOCATION (PAR /C PEN SPACE): <br />Un <br />p rohibited notified that you are <br />E ntering in or using all City of Eugene parks, open spaces or facilities„ <br />F <br />(Description of the violation.) <br />This restriction of use is effective beginning on - e 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 Rifle R -1.074 you are entitled to an infontral hearing to contest this ?notice. A request for an <br />info ral hearing must be made in writing; and filed with the Darks & Open Space Division Director ("the Division Director") <br />within 48 hours (exclusive of weekends) of receipt of this Notice at the following address: 1820 Roosevelt Blvd., Eugene, O <br />97402. <br />The Division Director shall schedule a time and place for the informal hearing to be conducted, which shall he not more there <br />72 hours (exclusive of weekends:i of receipt of the request for hearing. At the infio nal hearing the Division Director will only <br />ctsnsider testimony from you, City personnel involved in the incident that resulted in this Notice, and ether 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 elf°eet pending any req uested earing. <br />This Notice of Exclusion was delivered to the person named at the top of this Notice the date and time shown above by 6L(6, <br />.... <br />l . .. . ..... <br />(Signature of person itsuinglclelivering, notice) <br />t hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(Signature of person being issued the notice) <br />9iTe €ofivt PublicWorks, Gr�ee'! Cupya fits Yellow C=o Report COPY fink Copyi Recj pit ant. Glold.Cr py! 0 ffcer Alr,peal ncA ice Ro 04101 <br />Marne. Last _ First ' Middle <br />WBBa <br />Race,Sex: <br />LQ <br />s.dctrss: Caty <br />St�ti <br />R� Phone: <br />Ph <br />Un <br />p rohibited notified that you are <br />E ntering in or using all City of Eugene parks, open spaces or facilities„ <br />F <br />(Description of the violation.) <br />This restriction of use is effective beginning on - e 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 Rifle R -1.074 you are entitled to an infontral hearing to contest this ?notice. A request for an <br />info ral hearing must be made in writing; and filed with the Darks & Open Space Division Director ("the Division Director") <br />within 48 hours (exclusive of weekends) of receipt of this Notice at the following address: 1820 Roosevelt Blvd., Eugene, O <br />97402. <br />The Division Director shall schedule a time and place for the informal hearing to be conducted, which shall he not more there <br />72 hours (exclusive of weekends:i of receipt of the request for hearing. At the infio nal hearing the Division Director will only <br />ctsnsider testimony from you, City personnel involved in the incident that resulted in this Notice, and ether 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 elf°eet pending any req uested earing. <br />This Notice of Exclusion was delivered to the person named at the top of this Notice the date and time shown above by 6L(6, <br />.... <br />l . .. . ..... <br />(Signature of person itsuinglclelivering, notice) <br />t hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(Signature of person being issued the notice) <br />9iTe €ofivt PublicWorks, Gr�ee'! Cupya fits Yellow C=o Report COPY fink Copyi Recj pit ant. Glold.Cr py! 0 ffcer Alr,peal ncA ice Ro 04101 <br />