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LOCATION (PARKj0PEN SPACE) <br />I Ij I 11111111111!1111� III cill 11111 11�1 IF <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />K <br />The basis ror this Notice of Restriction of Use is that onC5-16� , you violated Section ofthe Park <br />and Open Space Ruleslo/or Section 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 or and shall remain in effect until - - ----- <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 made in writing and filed with the Parks & Open Space Division Director ("the Division Direclor") <br />within 48 hours (exclusive of weekends) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the <br />i ne ident, The D ivi sion Di rector may exclude anyone, other than you and those presenting testimony, train the inforinal hearing, <br />This Notice %hall remain in effect pending any requested hearing. <br />This N otice o Exclusion was del 1 vered to the person named at the top of this Notice at date and shown above by: <br />(Signature of person issuing/delivering notice) <br />I hereby acknowledge rcceipt of the above Notice on the date and time indicated above. <br />(Signature of person being issued the notice) <br />whhe Copy: Fublk! Works GyCV11 Cupy; Filc Y Copy ; Report C opy Pink C opy Reci Gold Copy: t fficei Appeal no6ce Rev, 0410l <br />Narrie, Last First Middle <br />DOB: <br />Race,Seyv <br />,Y <br />diI city <br />State <br />Zip <br />Res. Phone: <br />Work Phone: <br />I Ij I 11111111111!1111� III cill 11111 11�1 IF <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />K <br />The basis ror this Notice of Restriction of Use is that onC5-16� , you violated Section ofthe Park <br />and Open Space Ruleslo/or Section 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 or and shall remain in effect until - - ----- <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 made in writing and filed with the Parks & Open Space Division Director ("the Division Direclor") <br />within 48 hours (exclusive of weekends) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the <br />i ne ident, The D ivi sion Di rector may exclude anyone, other than you and those presenting testimony, train the inforinal hearing, <br />This Notice %hall remain in effect pending any requested hearing. <br />This N otice o Exclusion was del 1 vered to the person named at the top of this Notice at date and shown above by: <br />(Signature of person issuing/delivering notice) <br />I hereby acknowledge rcceipt of the above Notice on the date and time indicated above. <br />(Signature of person being issued the notice) <br />whhe Copy: Fublk! Works GyCV11 Cupy; Filc Y Copy ; Report C opy Pink C opy Reci Gold Copy: t fficei Appeal no6ce Rev, 0410l <br />