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NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />TIME: CASE 4 <br />DATE <br />dT _pM_ <br />LOCATION (PARK/OPEN SPACE): <br />M <br />libi izvku <br />0 <br />I <br />J ill, III�11111111 1 1111 11111 11111 IJI� III Ili 11' 111111 111 1 lII I I �i 1 1111 11111� III !IIIIIIIJJ�I <br />Entering in or using all City of Eugene parks, open, spaces or facilities. <br />I 2 I' <br />N <br />The basis for this Notice of Restriction of Use is that on _ Z,16 4 11 — _ you violated Section ke-1/10/f-0 the Park <br />and Open Space Rules, and/or Section-Y- _q(1 of the Eugene Code, 1971. and/or ORS . To wit, you. <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall remain in effect until CA <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 that second degree. <br />Pursuant to Park and Open Space Rule R-1.074 you arc entitled to an informal hearing to contest this Notice. A request for an <br />infomial hearing must be made in writing and filed with the Parks & 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 be not inore than <br />72 hours (exclu sive of weekends) of receipt of the request for hearing At the info al 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, 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 />Pew <br />(SignHtUrc of person issuing/defivering notice <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 />White Copy: Public Works Urem C opy: File Ye I I ow Cop y: Repo n Co py Pink Cupy: Recipient Guld Copy: Officer Appeal notice Re%% 04,03 <br />Name: Last First Middle <br />DOB <br />Race/S <br />Res, Address: city S4 t a t e <br />Zip <br />Rcs. Phone: <br />Work Phone: <br />I <br />J ill, III�11111111 1 1111 11111 11111 IJI� III Ili 11' 111111 111 1 lII I I �i 1 1111 11111� III !IIIIIIIJJ�I <br />Entering in or using all City of Eugene parks, open, spaces or facilities. <br />I 2 I' <br />N <br />The basis for this Notice of Restriction of Use is that on _ Z,16 4 11 — _ you violated Section ke-1/10/f-0 the Park <br />and Open Space Rules, and/or Section-Y- _q(1 of the Eugene Code, 1971. and/or ORS . To wit, you. <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall remain in effect until CA <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 that second degree. <br />Pursuant to Park and Open Space Rule R-1.074 you arc entitled to an informal hearing to contest this Notice. A request for an <br />infomial hearing must be made in writing and filed with the Parks & 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 be not inore than <br />72 hours (exclu sive of weekends) of receipt of the request for hearing At the info al 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, 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 />Pew <br />(SignHtUrc of person issuing/defivering notice <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 />White Copy: Public Works Urem C opy: File Ye I I ow Cop y: Repo n Co py Pink Cupy: Recipient Guld Copy: Officer Appeal notice Re%% 04,03 <br />