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notifted that you are prohibited from (cheek box): <br />k 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 you violated Section L " )R- -) f the Park <br />and Open Space Rules, and/or Section __— of the Eugene Code, 1971, and/or OR k/71, J -2 . To wit, you:--ftcl <br />I — <br />(Description of the violation.) <br />This restriction of use is effective beginning on ? 6 1 and shall retrain in effect until <br />9� <br />If you enter in or use any City of` Eugene park, open space or facility during the effective period of diis Notice, you may be <br />arrested and charged with criminal trespass in the second degree, <br />Pursuant to Park and Open Space Rule R - YOU are entitled to an informal bearing to contest this Notice, Arequest for an <br />informal hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Director") <br />within 49 hours (exclusive ofweekends) of receipt ol'this Notice at the following address: 1820 Roosevelt, Blvd, Eugene, OR <br />97402. <br />ne 17771spon 11711 77117ulic a MET dilu CC M1 Lilt: IMUMMI NUN= 0 VJV U)fluukvteu W U$:7 i1M M01 V LIE' <br />72 hours (exclusive of wcekends) of receipt of the request for hearing, At the informal hearing the Division Director will on <br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to. t <br />incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the infen heari.n <br />W <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 tirne shown above by: <br />(Signature oPperson issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the datc and time indicated above, <br />(Signature of person being issued the notice) <br />W'bite Ccqiy Public Work4 Gmen Copy: File Ydh3 Copy: ReToll Copy Pink Copy: R cipw-nt Gold Copy 0-Twer Appeal notix kev- (W'0-� <br />Mine: Last First IMA J d d I c <br />1)(M. <br />Race"'3'ex: <br />,4 <br />R e, s Addres city <br />d I C <br />State <br />- 0 <br />Zip <br />e, <br />'747) <br />Res. Phone: <br />C �7 <br />Work Phone <br />notifted that you are prohibited from (cheek box): <br />k 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 you violated Section L " )R- -) f the Park <br />and Open Space Rules, and/or Section __— of the Eugene Code, 1971, and/or OR k/71, J -2 . To wit, you:--ftcl <br />I — <br />(Description of the violation.) <br />This restriction of use is effective beginning on ? 6 1 and shall retrain in effect until <br />9� <br />If you enter in or use any City of` Eugene park, open space or facility during the effective period of diis Notice, you may be <br />arrested and charged with criminal trespass in the second degree, <br />Pursuant to Park and Open Space Rule R - YOU are entitled to an informal bearing to contest this Notice, Arequest for an <br />informal hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Director") <br />within 49 hours (exclusive ofweekends) of receipt ol'this Notice at the following address: 1820 Roosevelt, Blvd, Eugene, OR <br />97402. <br />ne 17771spon 11711 77117ulic a MET dilu CC M1 Lilt: IMUMMI NUN= 0 VJV U)fluukvteu W U$:7 i1M M01 V LIE' <br />72 hours (exclusive of wcekends) of receipt of the request for hearing, At the informal hearing the Division Director will on <br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to. t <br />incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the infen heari.n <br />W <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 tirne shown above by: <br />(Signature oPperson issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the datc and time indicated above, <br />(Signature of person being issued the notice) <br />W'bite Ccqiy Public Work4 Gmen Copy: File Ydh3 Copy: ReToll Copy Pink Copy: R cipw-nt Gold Copy 0-Twer Appeal notix kev- (W'0-� <br />