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NOTICE OF REs OF USE <br />and Notice of Right to Appeal <br />DATE: TIME� —A�— CASE 4: J-T70 <br />LOCATION (PARK/OPEN SPACE)._,rA 5 Ang K SL?Ck <br />The basis f6r this Notice of Restriction of Use is that on LtizT---M-1 you violated Section 1A t° of the Park <br />and Open Space Rules, and/or S cc Lion of the Eugene Code, 1971, and/or ORS To wit, you:_ <br />M <br />(Description of the violation.) <br />This restriction of use is effective beginning ond��— and shall remain in effect until Qa��Zz�-- <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 info al hearing to contest this Notice. A request for an <br />info al 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 />97402i <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 of the request for hearing. At the inflonnal 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 D ivision Director may exclude anyone, other than yo u and those presenting testimony, from the infra al hearing. <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of Exclusion %yaq delivered to the person named at the top of this Notice at the date andlu shown above by: <br />4� v <br />(Signature of person issinng/delivering notice} <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />4-f 0�r_-- <br />(Signature of person being issued the notice) <br />White Copy . Public wKork� Gr"n Copy; rile Yet I " W Copy : R-ey.mrk C UPY Pink C o py� Reo ip iunt Gai d Cc)py 0 IT ccr Appeal noti c c Rev, 04/0 <br />�0� <br />Nanic: Last Fir Middle <br />: <br />DOB: <br />R <br />Rae <br />! <br />e <br />TO <br />( �l <br />Z_Z <br />Lu <br />Res, Address: City <br />City <br />Stater <br />State <br />Zip <br />'i <br />ph,._ <br />Res, Phone: <br />Work Phone. <br />The basis f6r this Notice of Restriction of Use is that on LtizT---M-1 you violated Section 1A t° of the Park <br />and Open Space Rules, and/or S cc Lion of the Eugene Code, 1971, and/or ORS To wit, you:_ <br />M <br />(Description of the violation.) <br />This restriction of use is effective beginning ond��— and shall remain in effect until Qa��Zz�-- <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 info al hearing to contest this Notice. A request for an <br />info al 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 />97402i <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 of the request for hearing. At the inflonnal 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 D ivision Director may exclude anyone, other than yo u and those presenting testimony, from the infra al hearing. <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of Exclusion %yaq delivered to the person named at the top of this Notice at the date andlu shown above by: <br />4� v <br />(Signature of person issinng/delivering notice} <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />4-f 0�r_-- <br />(Signature of person being issued the notice) <br />White Copy . Public wKork� Gr"n Copy; rile Yet I " W Copy : R-ey.mrk C UPY Pink C o py� Reo ip iunt Gai d Cc)py 0 IT ccr Appeal noti c c Rev, 04/0 <br />�0� <br />