Y Entering in or using all City of Eugene parks, open spaces or facilities. <br />The basis for this Notice of Restriction of Use is that on you violated'section / 10 1 C-11 f th P ark <br />and Open Space Rules, and/or Section 4. 1 q r3 of the Eugene Code, 197 1, and/or CA RS I I o To wit, youe AEI' <br />(Description of the violation.) <br />This restriction of use is effective beginning on vwn— 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 />, ar <br />rested 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 18241 Roosevelt, Blvd., Eugene, OR <br />9740- <br />12 nours �excjuslve ol weuKvnus,� M rccull-n ui Me i0qYU-St IM jLe <br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the <br />inc ident. The Di v ision Director may exclude anyone, other than you and those presenti ng testimony, from the i nformal hearing. <br />This Notice shall remain in effect pending any requ"ited hearing. <br />This Notice of Exclusion was delivered to the person named at the top of this Notice at the date and time shown above by <br />(Signature oll'person issuing./delivering notice) <br />I hereby acknowledge receipt o the above N otice on the date and time indicated above. <br />of OF 0 <br />(Signature of person being issued the notice) <br />White Co[w! Public Work� Green Copy: File Yd I ow C opys Report Copy Pink Copy: Recipient Gol Copy O fficer Appeal notice Rev. 04,'01 <br />Naine: Last Fint Middle <br />DOB� <br />7a C lu <br />1 0 V o <br />Re Audm": city <br />c <br />State <br />Zip <br />Zip <br />Res, Phonc: <br />Work Phone: <br />h - AJ S I E t <br />Y Entering in or using all City of Eugene parks, open spaces or facilities. <br />The basis for this Notice of Restriction of Use is that on you violated'section / 10 1 C-11 f th P ark <br />and Open Space Rules, and/or Section 4. 1 q r3 of the Eugene Code, 197 1, and/or CA RS I I o To wit, youe AEI' <br />(Description of the violation.) <br />This restriction of use is effective beginning on vwn— 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 />, ar <br />rested 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 18241 Roosevelt, Blvd., Eugene, OR <br />9740- <br />12 nours �excjuslve ol weuKvnus,� M rccull-n ui Me i0qYU-St IM jLe <br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the <br />inc ident. The Di v ision Director may exclude anyone, other than you and those presenti ng testimony, from the i nformal hearing. <br />This Notice shall remain in effect pending any requ"ited hearing. <br />This Notice of Exclusion was delivered to the person named at the top of this Notice at the date and time shown above by <br />(Signature oll'person issuing./delivering notice) <br />I hereby acknowledge receipt o the above N otice on the date and time indicated above. <br />of OF 0 <br />(Signature of person being issued the notice) <br />White Co[w! Public Work� Green Copy: File Yd I ow C opys Report Copy Pink Copy: Recipient Gol Copy O fficer Appeal notice Rev. 04,'01 <br />