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LOCATION (PARKI"OPLN SPACE) <br />IS 11 M11111 11,11111 �' 111' 111 1111� 111111111 �Ii 11� 1111 III� � 11111 111111 1 1 Ill <br />ilillil'illill � 111111 1 1 1 � <br />V — Entering in or using all City of Eugene parks, open spaces or facilities. <br />H <br />The basis for this Notice of Restriction of Use is that cars T= you violated Section <br />and Open Space Rules, and/or Section of the Eugene Code, 197 1, and/or OR S <br />016 oethe Park <br />To wit, yore; <br />(Description of the violation.) <br />Y 12 - -- k -?" - <br />This restriction of use is effective beginning on — t I _ and shall remain in effect until <br />If you enter in or use any City of Eugene park, open space or facility during the of 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 rinal 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 />I hereby acknowledge receipt of the above Notice on the date and fink indicatcd above. <br />— -- - ---------------- <br />(Si r f p 1 being issued the notice) <br />0 h ersor <br />White Copy! Pubtic Works Green Copy: File Ycl low C opy: Re port C Pink Copy; Recipient Gold Cupy, OfficeAppeal neticm PCV, W"03 <br />Mime: Last First Middle <br />4 <br />RE°S Addr City <br />State <br />Zip <br />Res. Phone: <br />Work Phone: <br />IS 11 M11111 11,11111 �' 111' 111 1111� 111111111 �Ii 11� 1111 III� � 11111 111111 1 1 Ill <br />ilillil'illill � 111111 1 1 1 � <br />V — Entering in or using all City of Eugene parks, open spaces or facilities. <br />H <br />The basis for this Notice of Restriction of Use is that cars T= you violated Section <br />and Open Space Rules, and/or Section of the Eugene Code, 197 1, and/or OR S <br />016 oethe Park <br />To wit, yore; <br />(Description of the violation.) <br />Y 12 - -- k -?" - <br />This restriction of use is effective beginning on — t I _ and shall remain in effect until <br />If you enter in or use any City of Eugene park, open space or facility during the of 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 rinal 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 />I hereby acknowledge receipt of the above Notice on the date and fink indicatcd above. <br />— -- - ---------------- <br />(Si r f p 1 being issued the notice) <br />0 h ersor <br />White Copy! Pubtic Works Green Copy: File Ycl low C opy: Re port C Pink Copy; Recipient Gold Cupy, OfficeAppeal neticm PCV, W"03 <br />