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NOTICE OF RESTRICTION OF USE, <br />D,kTE ' q - ` ?—? TIME: I z <br />A - --/— I V CASE #- <br />LOCATION (PARKJOPEN SPACE) <br />notified that you are prohibited froin (,check box,): <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall remain in effect until <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-1.074 you are entitled to an informal hearing to contest this Notice, Arequest 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 />The Division Director shal I schedule a time and place for the infornial hearing to be conducted, which shall be not more th <br />72 hours (exclusive of weekends ' ) of receipt of the request for hearing. At the infonna I hearing the Diviiion Director wil I on <br />consider testimony ftorn you, City personnel involved in the incident that rezu1ted in this Notice, and other witnesses to t <br />incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the informal hearin <br />This Notice sball remain in effect pending any requested hearing. 11 <br />This Notice of Exclusion was delivered to the person named at the top of this Notice at the (late and inie shown above by: <br />(Signature of person issuing./delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and tinie indicated above. <br />(Signature of person being issued the notice,) <br />Wh i le Copy: Vu blic Works GreenCnpy: File Yd I ow Copy: Report Copy Pink Copy Recipient Gol Copy 0 fficcr Appea I notice Rcv, (W03 <br />Narne: Lam First M fiddle <br />D0& <br />Race,/Sex: <br />Req. Address City <br />State <br />Zip <br />Res, Phi ne� <br />Work Phone; <br />notified that you are prohibited froin (,check box,): <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall remain in effect until <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-1.074 you are entitled to an informal hearing to contest this Notice, Arequest 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 />The Division Director shal I schedule a time and place for the infornial hearing to be conducted, which shall be not more th <br />72 hours (exclusive of weekends ' ) of receipt of the request for hearing. At the infonna I hearing the Diviiion Director wil I on <br />consider testimony ftorn you, City personnel involved in the incident that rezu1ted in this Notice, and other witnesses to t <br />incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the informal hearin <br />This Notice sball remain in effect pending any requested hearing. 11 <br />This Notice of Exclusion was delivered to the person named at the top of this Notice at the (late and inie shown above by: <br />(Signature of person issuing./delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and tinie indicated above. <br />(Signature of person being issued the notice,) <br />Wh i le Copy: Vu blic Works GreenCnpy: File Yd I ow Copy: Report Copy Pink Copy Recipient Gol Copy 0 fficcr Appea I notice Rcv, (W03 <br />