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NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATE: (38 os )v TIME: CASE #: <br />F 12 h /1J, <br />LC R K/ <br />OATION (PAOPEN SPACE): r Ar I f Rwff- <br />(Description of the violation.) <br />rhis restriction of use is effective beginning on _ 9� �/, and shall remain in effect until 0 1 Celq _. <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 />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 ofthe 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, from the informal hearing. <br />This Noticil 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 of person issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />, Sc_,&LA�i qOzf <br />KRUM Willi l <br />White Copy: Public Works Green Copy. Flik `Glow Copy: Report Copy Pink Copy: Recipient Gold Copy; Obis Appral nouce RL7 (AM <br />Naline: Last First Middle <br />D013: <br />RaceiS!Q.X_ <br />YVnA.I�E Ru6 Ul <br />C35 !Co - 7 0 <br />Oil <br />U <br />LQ <br />Re Address: City <br />State <br />Zip <br />Re Ph[ DIO: <br />Work Phone: <br />c ( <br />QJR <br />'7YIj-a <br />(Description of the violation.) <br />rhis restriction of use is effective beginning on _ 9� �/, and shall remain in effect until 0 1 Celq _. <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 />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 ofthe 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, from the informal hearing. <br />This Noticil 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 of person issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />, Sc_,&LA�i qOzf <br />KRUM Willi l <br />White Copy: Public Works Green Copy. Flik `Glow Copy: Report Copy Pink Copy: Recipient Gold Copy; Obis Appral nouce RL7 (AM <br />