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NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATL Off-30] TIME CASF,0: <br />LOCATION (PARK/0PEN SPAl <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />X <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall remain in effect until <br />H. 'YOU eater 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 1824; 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 w only <br />consider testimony ftorn 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 info al hearing. <br />This Notice shall remain in erfil pending any requested hearing. <br />This Notice of Exclusion was delivered to the person named at the top of this Notice at the dar and time shown above by <br />(Signature of person is%uling/delivering no ice <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(Si i - Mare of person being issued the notice) <br />I <br />l � &, <br />White Coll Public Marks Green Copy: File Yellow Copy Report Copy Pink Copy: Recilpien@ Gol Copy : O fficer A ppeal Al kcw, 1W03 <br />Name: Last First Middle <br />qJTC- <br />013 <br />Rae <br />Res. Address: city <br />11-9&J — <br />Zip <br />Res, Phone: <br />Work Plione: <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />X <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall remain in effect until <br />H. 'YOU eater 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 1824; 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 w only <br />consider testimony ftorn 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 info al hearing. <br />This Notice shall remain in erfil pending any requested hearing. <br />This Notice of Exclusion was delivered to the person named at the top of this Notice at the dar and time shown above by <br />(Signature of person is%uling/delivering no ice <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(Si i - Mare of person being issued the notice) <br />I <br />l � &, <br />White Coll Public Marks Green Copy: File Yellow Copy Report Copy Pink Copy: Recilpien@ Gol Copy : O fficer A ppeal Al kcw, 1W03 <br />