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NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATE: TIME: CASE #: <br />b\ %\Cv55 <br />[,.00ATION(PARK/OPF 17))(& A i3 10AX, PA-,rC)4 <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall remain in effect until A-4 <br />If you enter in or use any City of Eugene park, open space or facility during the effective period of this Noticc, 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 loran <br />informal hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Directoe') <br />within 48 hours (exclusive of weekends t of receipt of this Notice at the following address 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Director shall schedule a time and place for the infornial 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 frorn 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 />T'his Notice shall remain in effect pending any requested hearing. <br />This Notice of Exclusion was delivered to the person tamed at the top cat this Notice he date and tirne shown above by: <br />(Signature ot'peNon ] notiee,� <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(Signature of person being issued the notice) <br />Vv'lu e Copy: Pubhc Workq Green Copy: File Yet low Copy : Repo C Pink Copy: Recipient G old C upy: 0 M c Appeal Riots e Re% 04,103 <br />Name: Last First <br />Middle <br />DO <br />eV <br />fz L4,0-fic <br />L) <br />Res. Add•ess: City <br />State <br />Zip <br />Res. llhone: <br />I Work Phonc: <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall remain in effect until A-4 <br />If you enter in or use any City of Eugene park, open space or facility during the effective period of this Noticc, 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 loran <br />informal hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Directoe') <br />within 48 hours (exclusive of weekends t of receipt of this Notice at the following address 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Director shall schedule a time and place for the infornial 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 frorn 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 />T'his Notice shall remain in effect pending any requested hearing. <br />This Notice of Exclusion was delivered to the person tamed at the top cat this Notice he date and tirne shown above by: <br />(Signature ot'peNon ] notiee,� <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(Signature of person being issued the notice) <br />Vv'lu e Copy: Pubhc Workq Green Copy: File Yet low Copy : Repo C Pink Copy: Recipient G old C upy: 0 M c Appeal Riots e Re% 04,103 <br />