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NOTICE OF RESTRICTION OF USE
<br />and Notice of Right to Appeal
<br />DATE: FIME:
<br />--f—th CASE 9:
<br />6 �1
<br />LOCATION (PARK/OPEN SPACE):
<br />57 7 Ty ot Aaminis ran U 0. - -, - - ana ear an en, pace u e,
<br />notified that you are prohibited from (check box):
<br />Entering in or using all City of Eugene parks, open spaces or facilities.
<br />The basis for this Notice of Restriction of Use is that on - 7/30/lq you violated Section g 3 1 . �P , of the Park
<br />and Open Space Rules, and/or Section o e E
<br />the: Code, 1971, and/or ORS To wit, you: 7 ta
<br />7
<br />J A JA IV, S 7 r-C--
<br />1\^J 0F(All 5 if S W
<br />(Pescription of the violation.)
<br />This restriction of use is effective beginning on lh-Mf , any shall remain in effect until _
<br />S,
<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 Rule R-1.074 you are entitled to an informal hearing to contest this Notice. A request for an
<br />informal hearing must be inade 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, OR
<br />97402
<br />The Division Director shall schedule a time and place: for the informal hearing to be conducted, which shall he not more than
<br />72 hours (exclusive of weekends) of receipt of the request for hearing. At the info al hearing the Division Director wi I I 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, from the informal hearing.
<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 time shown above by.-
<br />( of person. issz
<br />I hereby acknowledge receipt of the above Notice on the date and time indicated above.
<br />V -- ---------------------------------------
<br />(Signature
<br />of person being issued the notice)
<br />White Copy: Public W ks Green Copy: He Y Chow low Copy : kcpore Copy Pink Copy: Recipient G oid CLVyy Off cer Apptal no ice OV03
<br />Name: Last First Middle
<br />17013:
<br />Race/Scx:
<br />07 C 06
<br />L
<br />Res. Address: Ci; ;
<br />State
<br />Zip
<br />Res, Phone:
<br />Work Phone:
<br />57 7 Ty ot Aaminis ran U 0. - -, - - ana ear an en, pace u e,
<br />notified that you are prohibited from (check box):
<br />Entering in or using all City of Eugene parks, open spaces or facilities.
<br />The basis for this Notice of Restriction of Use is that on - 7/30/lq you violated Section g 3 1 . �P , of the Park
<br />and Open Space Rules, and/or Section o e E
<br />the: Code, 1971, and/or ORS To wit, you: 7 ta
<br />7
<br />J A JA IV, S 7 r-C--
<br />1\^J 0F(All 5 if S W
<br />(Pescription of the violation.)
<br />This restriction of use is effective beginning on lh-Mf , any shall remain in effect until _
<br />S,
<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 Rule R-1.074 you are entitled to an informal hearing to contest this Notice. A request for an
<br />informal hearing must be inade 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, OR
<br />97402
<br />The Division Director shall schedule a time and place: for the informal hearing to be conducted, which shall he not more than
<br />72 hours (exclusive of weekends) of receipt of the request for hearing. At the info al hearing the Division Director wi I I 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, from the informal hearing.
<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 time shown above by.-
<br />( of person. issz
<br />I hereby acknowledge receipt of the above Notice on the date and time indicated above.
<br />V -- ---------------------------------------
<br />(Signature
<br />of person being issued the notice)
<br />White Copy: Public W ks Green Copy: He Y Chow low Copy : kcpore Copy Pink Copy: Recipient G oid CLVyy Off cer Apptal no ice OV03
<br />
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