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NOTICE OF RESTRICTION OF USE 5)* 0 <br />and Notice of Right to Appeal <br />I <br />Ity.— 415? <br />11LI 46 <br />DATE. oap. I / — TIME� _11142-- CASE 9 <br />LOCATION (PARK/ OPEN SPACE): . _4P1AzQV__P*4___ <br />III q: IIIIII, I IIII lI 111111 1 10111 111 1 Jill, III <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />X <br />(Description of the violation.) <br />This restriction of use is effective beginning on tQl?q-1 W . and shall remain in effect until <br />If you enter in or use any City of Eugene park, open space or facility during the clTective 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-1.074 you are entitled to an informal hearing to contest this Notice, A request for an <br />infori hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Director") <br />within 49 hours (exclusive of weekends) of receipt of this Notice at the following address: 1920 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 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, frorn the inf o al hearing. <br />This Notice shall remain in effect pending any requested hearing. <br />(Signature of person being issued the notice) <br />White Copy! Public Works Green Copy! File Yellow Copy: Repooft Colry Pink Copy Pecipient Gull ("cipy! 01ircer Appeal notice Rev, 04,03 <br />Name: Last First Middle <br />a�)B <br />Pace Sex <br />z <br />vF'. 2C6; ovlcx �FEq2_Dw N, <br />C9 <br />Res, Address City <br />State <br />Zip <br />Res. Phone: <br />Work Phone: <br />- 1 - P-A z; f _ — <br />­ <br />III q: IIIIII, I IIII lI 111111 1 10111 111 1 Jill, III <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />X <br />(Description of the violation.) <br />This restriction of use is effective beginning on tQl?q-1 W . and shall remain in effect until <br />If you enter in or use any City of Eugene park, open space or facility during the clTective 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-1.074 you are entitled to an informal hearing to contest this Notice, A request for an <br />infori hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Director") <br />within 49 hours (exclusive of weekends) of receipt of this Notice at the following address: 1920 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 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, frorn the inf o al hearing. <br />This Notice shall remain in effect pending any requested hearing. <br />(Signature of person being issued the notice) <br />White Copy! Public Works Green Copy! File Yellow Copy: Repooft Colry Pink Copy Pecipient Gull ("cipy! 01ircer Appeal notice Rev, 04,03 <br />