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NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATE., 9:74 \ZA TIME: CASE #-. <br />LOCATION (PARK-/OPEN SPACE) <br />Co N-S �4 6-, - r-W <br />11 1 111 111 11111 1' 11111 J F1111111 l i ! III , J I <br />�O Entering in or using all City of Eugene parks, open spaces or facilities, <br />El <br />'rhe basis for this Notice of Restriction of Use is that on you violated Section I , 0 <br />4La?�A�� 10<) the Park <br />and Open Space Rules, and/or Section of the Eugene Code, 1971, an&or ORS -, To wit, you:_ <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 £t - 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: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Director shall schedule a time and place for the infon 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 Dircelor will only <br />consider 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 heating. <br />This Noticeshall remain in effect pending any requested 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 />(Signalurcol person isstG �del vering notice) <br />I hereby acknowledge receipt of the above Notice on the (late and time indicated above, <br />(Signature o person being issued the notice) <br />Whit- Copy: Pub I i c Works, Green Copy; File Yunow Copy Report Copy Pink Copy: Recipient Gold Copy: Officer Appeal notice ke%% (4 03 <br />Name. L s First Middle <br />DOB <br />Racc/Se\ <br />LU <br />Res. Address: City <br />State <br />Zip <br />Res, Phone: <br />Work llhone� <br />11 1 111 111 11111 1' 11111 J F1111111 l i ! III , J I <br />�O Entering in or using all City of Eugene parks, open spaces or facilities, <br />El <br />'rhe basis for this Notice of Restriction of Use is that on you violated Section I , 0 <br />4La?�A�� 10<) the Park <br />and Open Space Rules, and/or Section of the Eugene Code, 1971, an&or ORS -, To wit, you:_ <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 £t - 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: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Director shall schedule a time and place for the infon 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 Dircelor will only <br />consider 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 heating. <br />This Noticeshall remain in effect pending any requested 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 />(Signalurcol person isstG �del vering notice) <br />I hereby acknowledge receipt of the above Notice on the (late and time indicated above, <br />(Signature o person being issued the notice) <br />Whit- Copy: Pub I i c Works, Green Copy; File Yunow Copy Report Copy Pink Copy: Recipient Gold Copy: Officer Appeal notice ke%% (4 03 <br />