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11111 li�ilillill � 7 111111 111 11111 111 <br />1k 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 on you violated Sceno"? 40 /4) <br />f tlf& Park <br />and Ope Space Rules and/or Section l, d of the Fug 7e Code, 1971, andlor ORS To wit, you: <br />IY7 <br />(Description of the violation.) <br />This restriction of use is effective beginning on-,% and shall remain in effect until 6 <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 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) of receipt of the 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 Notice shall remain in effect pending any requested hearing. A g a <br />This Notice of Exclusion was delivered to the person named at the top of this Notice at the da and time shown above by: <br />{;Signature u Mrs(k isNming./ delivering notice <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above, <br />(Sign '�T�e of peyron Veir <br />,tig'asp ued the notice) <br />White Copy: Pubfic Workq Green Cupe : Fite Yellow Copy; Report Copy Pink Copy kccipient (301d Copp: (bt - twn A�J Cal 11"Licu Rev- OV03 <br />Manic: Lkst First MkIdle <br />DOB: <br />Race/Se z <br />N <br />Rey, Address; C 11 <br />state <br />Zip <br />A - 7 IJI) <br />Res. Phone� <br />plpxle� <br />11111 li�ilillill � 7 111111 111 11111 111 <br />1k 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 on you violated Sceno"? 40 /4) <br />f tlf& Park <br />and Ope Space Rules and/or Section l, d of the Fug 7e Code, 1971, andlor ORS To wit, you: <br />IY7 <br />(Description of the violation.) <br />This restriction of use is effective beginning on-,% and shall remain in effect until 6 <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 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) of receipt of the 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 Notice shall remain in effect pending any requested hearing. A g a <br />This Notice of Exclusion was delivered to the person named at the top of this Notice at the da and time shown above by: <br />{;Signature u Mrs(k isNming./ delivering notice <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above, <br />(Sign '�T�e of peyron Veir <br />,tig'asp ued the notice) <br />White Copy: Pubfic Workq Green Cupe : Fite Yellow Copy; Report Copy Pink Copy kccipient (301d Copp: (bt - twn A�J Cal 11"Licu Rev- OV03 <br />