NOTICE OF RESTRIcTiON OF USE <br />and Notice of Right to Appeal <br />- 3' <br />DATE � �4-i4eqj <br />-. TIME: AS CASE #- <br />LOCATION (PARK/OPEN SPACE): --C -446 - r i? <br />notified that you are prohibited frorn, (check box): <br />IIIIIIVIIIP 111111 111111111 1 11 1�1 <br />0 <br />The basis for this Notice of Restriction of Use is that on C;6ZJ tq- you violated Section 'ELN of the Pa* <br />and Open Space Rules, and/or Section of the Eugene Code, 1971 and/or ORS To wit, you <br />7W <br />(Description of the violation.) <br />This restriction of use is effective beginning on _ Zl 1A , and shall remain in effect until -!2&L4--. <br />If you enter in or use any City of Eugene park, open space or facility during the effective period of this Notice, you inay be <br />arrested and charged with cruninal trespass in the second degree. <br />Pursuant to Park and Open Space Rule R-1.074 you are entitled to an infra al hearing to contest this Notice. A request for an <br />info al hearing must be made in writing and filed with the Parks &- Open Space Division Director ("the Division Director") <br />within 49 hours (exclusive of'weekends) of receipt of this Notice at the following address: IM20 Roosevelt, Blvd., Eugene, Olt <br />97402. <br />The Division Director shall schedule a three and place for the informal hearing to be conducted, which shall be not more than <br />72 hours (exclusive of weekend%) 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 />incidcnt_ 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 Noti cc of Exclusion was de livered to the person named at the top of this N otice at the date and time shown above by: <br />(sii Wure of person issuing/delivering notice) <br />li�vz - <br />r, eav)(IP <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />J <br />................ <br />(Signature of person being issued the notice) <br />W hite C opy : P1 Ohl i C " 04s Grccn Copy; File Yellow Copy: RcTorl Copy Pink copy� Rcuipivnt Gold Cupy: 4 fficcr Appeal Tj0jjCC Re%, 04.101 <br />Name: Last First Middle <br />DOB: <br />Race/Sex <br />Res. Address: City <br />State <br />Zip <br />Res. Phone: <br />Work Phone: <br />cliz <br />notified that you are prohibited frorn, (check box): <br />IIIIIIVIIIP 111111 111111111 1 11 1�1 <br />0 <br />The basis for this Notice of Restriction of Use is that on C;6ZJ tq- you violated Section 'ELN of the Pa* <br />and Open Space Rules, and/or Section of the Eugene Code, 1971 and/or ORS To wit, you <br />7W <br />(Description of the violation.) <br />This restriction of use is effective beginning on _ Zl 1A , and shall remain in effect until -!2&L4--. <br />If you enter in or use any City of Eugene park, open space or facility during the effective period of this Notice, you inay be <br />arrested and charged with cruninal trespass in the second degree. <br />Pursuant to Park and Open Space Rule R-1.074 you are entitled to an infra al hearing to contest this Notice. A request for an <br />info al hearing must be made in writing and filed with the Parks &- Open Space Division Director ("the Division Director") <br />within 49 hours (exclusive of'weekends) of receipt of this Notice at the following address: IM20 Roosevelt, Blvd., Eugene, Olt <br />97402. <br />The Division Director shall schedule a three and place for the informal hearing to be conducted, which shall be not more than <br />72 hours (exclusive of weekend%) 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 />incidcnt_ 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 Noti cc of Exclusion was de livered to the person named at the top of this N otice at the date and time shown above by: <br />(sii Wure of person issuing/delivering notice) <br />li�vz - <br />r, eav)(IP <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />J <br />................ <br />(Signature of person being issued the notice) <br />W hite C opy : P1 Ohl i C " 04s Grccn Copy; File Yellow Copy: RcTorl Copy Pink copy� Rcuipivnt Gold Cupy: 4 fficcr Appeal Tj0jjCC Re%, 04.101 <br />