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LOCATION (PARK/0PEN SPACF): <br />& 57 <br />Ogg! <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />The basis for this Notice of Restriction of Use is that can you violated Section ofthe Park <br />Open Space Rules, and'or Section of the Eugene= Code, 1971. and/or ORS To Wit, You I _ <br />(Description of the violation.) <br />This restriction of use is effective beginning on 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. :4 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 49 he (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 rnors than <br />72 hours (exclusive of weekends) cif receipt of the request for hearing. At the informal hearing the Division Director wil I 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 NotiSaefat the date and tinie shown above by: <br />ot'person Issuing/defivering notice) <br />I hereby acknowledge receipt of the above Notice an the date and tinie i <br />(Signature of person being issued the notice) <br />White Copy.: Pub[w- Woyks (aTeenCopy File Yellow Copy: Rqmrt Copy Pink Copy: Recipien Cold Copy: Offj"r ApNal rindQv Rev 04103 <br />aT I I•V Last First <br />V <br />t! Adcfi city <br />State <br />Zip <br />Res- Phone. <br />Work <br />Ogg! <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />The basis for this Notice of Restriction of Use is that can you violated Section ofthe Park <br />Open Space Rules, and'or Section of the Eugene= Code, 1971. and/or ORS To Wit, You I _ <br />(Description of the violation.) <br />This restriction of use is effective beginning on 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. :4 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 49 he (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 rnors than <br />72 hours (exclusive of weekends) cif receipt of the request for hearing. At the informal hearing the Division Director wil I 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 NotiSaefat the date and tinie shown above by: <br />ot'person Issuing/defivering notice) <br />I hereby acknowledge receipt of the above Notice an the date and tinie i <br />(Signature of person being issued the notice) <br />White Copy.: Pub[w- Woyks (aTeenCopy File Yellow Copy: Rqmrt Copy Pink Copy: Recipien Cold Copy: Offj"r ApNal rindQv Rev 04103 <br />