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NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATE: -7 <br />_V <br />TIME- <br />C <br />D <br />CASE#: <br />LOCATION (PAR /OPEN S — <br />W <br />"A <br />notified that you are prohibited from (check box)- <br />�K7 Entering in or using all City ofEugene parks, open spaces or facilities. <br />X <br />The basis for this Notice of Restriction of Use is that on 417/1 you violated Section LPID"Li of the Park <br />and Open Space Rules, and/or Sectionq.;Ljj — ,-- of the Eugene Code, 1971, and/or ORS . ... .......... ------ -- , To wit, youj!nk <br />(Description of the violation.) <br />This restriction. of use is effective beginning on 0741-1 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 RUIC R-1.074 you are entitled to an infomial 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 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 more than <br />72 hours, (exclusive of weekends) o freceipt of the request for hearing. At the infra al hearing the Division Director wi 11 only <br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the <br />incident, Thc Division Director may exclude anyone, other than you and those presenting testimony, from the info al 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 />73 <br />person issuing/delivering notice) <br />piglia�w'c o <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 C opy; Pub I i c Work q Grccncopy: File Yellow Copy: RLTorl Copy Pink Copy: Recipient Odd Copy: Officer Appeal notice Rev. 04/03 <br />Nriliv UiSi Finst Middle <br />1)013• <br />Racc�Sel.x <br />r <br />0 <br />Res- Address: City <br />State <br />zip <br />Res, Phone: <br />Work Phone� <br />A <br />W <br />"A <br />notified that you are prohibited from (check box)- <br />�K7 Entering in or using all City ofEugene parks, open spaces or facilities. <br />X <br />The basis for this Notice of Restriction of Use is that on 417/1 you violated Section LPID"Li of the Park <br />and Open Space Rules, and/or Sectionq.;Ljj — ,-- of the Eugene Code, 1971, and/or ORS . ... .......... ------ -- , To wit, youj!nk <br />(Description of the violation.) <br />This restriction. of use is effective beginning on 0741-1 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 RUIC R-1.074 you are entitled to an infomial 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 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 more than <br />72 hours, (exclusive of weekends) o freceipt of the request for hearing. At the infra al hearing the Division Director wi 11 only <br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the <br />incident, Thc Division Director may exclude anyone, other than you and those presenting testimony, from the info al 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 />73 <br />person issuing/delivering notice) <br />piglia�w'c o <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 C opy; Pub I i c Work q Grccncopy: File Yellow Copy: RLTorl Copy Pink Copy: Recipient Odd Copy: Officer Appeal notice Rev. 04/03 <br />