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NOTICE OF REs OF USE <br />and Notice of Right to Appeal <br />DATE: T] ME: _Lq <br />It CASE <br />NS1 ftviA� <br />LOCATION (PARK/OPEN SPACE),__WS K, <br />1 1 1 11 1 1 1 1 1 11111, 1111 1! 1111 1 :31111F III III illllii�ll!i" 11111 1 1 11 111111 Jill !::: q1I I 111 1111111111111111 1 J IF , <br />Entering in or using all City of Eugene parks, open spaces or I'a iliti <br />el I <br />a <br />The basis for this Notice of Restriction of Use is that on Ala —1h you violated Secti on I. ol 0 (1 4 1, f the Park <br />and Open Space Rules, and/or Section V P 7 of the Eugene Code, 1971. and/or ORS .. To wit, you:_ <br />A <br />(Description of the violation.) <br />This restriction of use is effective beginning on AFd III —, and shall remain in effect until <br />If you enter in or use any City of Eugene park, open space or facility duning 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., Arearrest for an <br />info al hearing must be made in writing, and filed with the Parks & Open Space Division Director ("the Division Directoe') <br />within 48 hours (exclusive of weekends) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />('v ofperson issuing/delivering notice <br />- <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. rcpf <br />II II ) f,4vc >/)P <br />(Signature cit"person being issued the notice) <br />White Copy� Public WurkK Green Copy: Vide Yclk,w Copy Report Copy Pinill, copy: Recipient G hi C, tpy ; 0 M cer Appeal snow R A- • 04 O <br />Name: Last in't Ni iddle <br />D0 <br />(G. L r <br />6 1 6 <br />Res. Addrcss: City <br />State <br />Zip <br />Res, Phone: <br />Work Phone: <br />1 1 1 11 1 1 1 1 1 11111, 1111 1! 1111 1 :31111F III III illllii�ll!i" 11111 1 1 11 111111 Jill !::: q1I I 111 1111111111111111 1 J IF , <br />Entering in or using all City of Eugene parks, open spaces or I'a iliti <br />el I <br />a <br />The basis for this Notice of Restriction of Use is that on Ala —1h you violated Secti on I. ol 0 (1 4 1, f the Park <br />and Open Space Rules, and/or Section V P 7 of the Eugene Code, 1971. and/or ORS .. To wit, you:_ <br />A <br />(Description of the violation.) <br />This restriction of use is effective beginning on AFd III —, and shall remain in effect until <br />If you enter in or use any City of Eugene park, open space or facility duning 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., Arearrest for an <br />info al hearing must be made in writing, and filed with the Parks & Open Space Division Director ("the Division Directoe') <br />within 48 hours (exclusive of weekends) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />('v ofperson issuing/delivering notice <br />- <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. rcpf <br />II II ) f,4vc >/)P <br />(Signature cit"person being issued the notice) <br />White Copy� Public WurkK Green Copy: Vide Yclk,w Copy Report Copy Pinill, copy: Recipient G hi C, tpy ; 0 M cer Appeal snow R A- • 04 O <br />