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LOCATION (PARKJOPEN SPACE): 4e- &L6CK-S <br />- M Wf I Y IZ7 <br />1 UY 7 r-Tp= <br />notified that you are prohibited from (check box)- <br />1� 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 07 21 2t4 , you violated Section 1 o the Park <br />and Open Space Rules, and for Section Y-2 of the Eugene Code, 19"71, ancL'or ORS To wit, you._ <br />S1014 Nq <br />(Description of the violation.) <br />This restriction of use is effective beginning on 7�d ' �—iq , and shall remain in effect until Pi 9 ( 2��-' I j ­- <br />If you enter in or rise ny City of Eugene park, open space or facility during the eff 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 Noticc, A request for an <br />informal hearing must be made in writing, and filed with the Parks & Open Space Division Director ("the Division Director") <br />w4hin 49 hours (exclusive of weekends) of receipt ofthis Notice at the f`011owlng addres& 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />111- D <br />72 hours (exclusive of �veckcnds) of receipt of the request for hearing. At the infori hearing the Division Director vvill only <br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to tlre <br />incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the informal hearing. <br />This Notice %hall 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 />(Signature offseason issuing/delivering notice) <br />I hereby acknowledge receipt of the shove Notice on the date and firne indicated above. <br />(Signature of person being issued the notice) <br />white C opy: flub] ic Wo rk� Green Copy. File YAow Copy, Ruport Copy Pink Copy; Recipient Gol Copy i 0 f1ker A ppeal n06 ce Rxv, OVO� <br />— ----------------------- - ------------- - ------ <br />Name: Last First Middle <br />DOB: <br />Racy, Sex: <br />U4 �2i /25 <br />LQ <br />Rcs. Address: City <br />State <br />Zip <br />Re Pb one. <br />Work Phone: <br />- M Wf I Y IZ7 <br />1 UY 7 r-Tp= <br />notified that you are prohibited from (check box)- <br />1� 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 07 21 2t4 , you violated Section 1 o the Park <br />and Open Space Rules, and for Section Y-2 of the Eugene Code, 19"71, ancL'or ORS To wit, you._ <br />S1014 Nq <br />(Description of the violation.) <br />This restriction of use is effective beginning on 7�d ' �—iq , and shall remain in effect until Pi 9 ( 2��-' I j ­- <br />If you enter in or rise ny City of Eugene park, open space or facility during the eff 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 Noticc, A request for an <br />informal hearing must be made in writing, and filed with the Parks & Open Space Division Director ("the Division Director") <br />w4hin 49 hours (exclusive of weekends) of receipt ofthis Notice at the f`011owlng addres& 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />111- D <br />72 hours (exclusive of �veckcnds) of receipt of the request for hearing. At the infori hearing the Division Director vvill only <br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to tlre <br />incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the informal hearing. <br />This Notice %hall 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 />(Signature offseason issuing/delivering notice) <br />I hereby acknowledge receipt of the shove Notice on the date and firne indicated above. <br />(Signature of person being issued the notice) <br />white C opy: flub] ic Wo rk� Green Copy. File YAow Copy, Ruport Copy Pink Copy; Recipient Gol Copy i 0 f1ker A ppeal n06 ce Rxv, OVO� <br />— ----------------------- - ------------- - ------ <br />