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III �illi III fljlll�i I'l I I � 1 11 11 Ipj , gIi� " 3 111 <br />RIV <br />R� Entering in or using all City of Eugene parks, open spaces or facilities. <br />91, <br />The basis for this Notice of Restriction of Use is that on . ,D$ 2- <br />�t you violated Section 1-0 4 of the Park <br />and Open Space Rules, and/or Section of the Eugene Code, 1x971 a and lor ORS ---. To wit, You: <br />(Description of the violation.) <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-I .074 you are entitled to an info al hearing to contest this Notice, A request for air <br />i n 6on I hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Divi sion Director") <br />within 48 hours (exclusive ci weekends) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., E ugene, Olt <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 />'der 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 Notice c dat a i time shown above by: <br />A <br />— L <br />(Sign attire. ofperson isquing/delivering notice) <br />I hereby acknowledge receipt of the above Notice an the date and time indicated above. <br />(Signature of person being issued the notice) <br />While Cop\: Public Workv Green Copy File Yettow Capy Report Copy Pink Copy; Recipient Gold Copy: Officer Appeal mAice Rev, (W03 <br />Natre: Last First Middle <br />DOB: <br />Race/Scx <br />1 7 <br />6K&<A6AN Et- R <br />Res. Address: <br />"Y <br />EICT <br />Zip <br />Res. Phone � <br />Work Phone: <br />— I P-A "�, t <br />-Zlp- <br />III �illi III fljlll�i I'l I I � 1 11 11 Ipj , gIi� " 3 111 <br />RIV <br />R� Entering in or using all City of Eugene parks, open spaces or facilities. <br />91, <br />The basis for this Notice of Restriction of Use is that on . ,D$ 2- <br />�t you violated Section 1-0 4 of the Park <br />and Open Space Rules, and/or Section of the Eugene Code, 1x971 a and lor ORS ---. To wit, You: <br />(Description of the violation.) <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-I .074 you are entitled to an info al hearing to contest this Notice, A request for air <br />i n 6on I hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Divi sion Director") <br />within 48 hours (exclusive ci weekends) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., E ugene, Olt <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 />'der 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 Notice c dat a i time shown above by: <br />A <br />— L <br />(Sign attire. ofperson isquing/delivering notice) <br />I hereby acknowledge receipt of the above Notice an the date and time indicated above. <br />(Signature of person being issued the notice) <br />While Cop\: Public Workv Green Copy File Yettow Capy Report Copy Pink Copy; Recipient Gold Copy: Officer Appeal mAice Rev, (W03 <br />