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NOTICE OF RESTRICTION OF USE 3-3 <br />DATE 74 <br />LOCATION (PARK/OPEN SPACE:__ <br />acrd Notice of Right to Appeal <br />TIME: CASE 4: <br />Ni WIA� <br />notified that you are prohibited from (check box.). <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />10 <br />The basis for this Notice of Restriction of Use is that on —74 !1[_:� �/, you violated Section the Park <br />of the Eugene Code, 1971. and/or ORS To wit, yt.)u <br />and Open Space Rules, and/or Section <br />(Description of the violation.) <br />This restriction of use is effective beginning on 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 />Purs uarn to Park and Open Space Ru R - you are entitl to an in formal hearing to contest this N otice. A request fior an <br />info al 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) (if receipt ofthis 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 informal hearing the Division Director will only <br />consider testin from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the <br />incident. 'rhe Division Director may exclude anyone, other than you and those presenting testimony, from the informal healing. <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of Exclusion was delivered to the person natned at the top of this Notice t the date acrd time �ph - wn ab. ove by. <br />(Signaturc of person issuing/delivering notice) <br />Name: Last First Middle <br />D - )B: <br />Raecl <br />Res, Address: City <br />311 <br />Statt <br />Zip <br />1 <br />Res Phone: <br />W ork 1 - cone: <br />? <br />notified that you are prohibited from (check box.). <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />10 <br />The basis for this Notice of Restriction of Use is that on —74 !1[_:� �/, you violated Section the Park <br />of the Eugene Code, 1971. and/or ORS To wit, yt.)u <br />and Open Space Rules, and/or Section <br />(Description of the violation.) <br />This restriction of use is effective beginning on 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 />Purs uarn to Park and Open Space Ru R - you are entitl to an in formal hearing to contest this N otice. A request fior an <br />info al 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) (if receipt ofthis 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 informal hearing the Division Director will only <br />consider testin from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the <br />incident. 'rhe Division Director may exclude anyone, other than you and those presenting testimony, from the informal healing. <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of Exclusion was delivered to the person natned at the top of this Notice t the date acrd time �ph - wn ab. ove by. <br />(Signaturc of person issuing/delivering notice) <br />