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NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATE: <br />TIME: <br />S ty-) CASE #: <br />Race"Sex: <br />LOCATION WARK/OPEN <br />fy) VG L <br />ANN <br />III <br />III I ;qVill III 1 11 li; 111 11111 11 jll�ill Ill p " I 11 1 Ill i Ili l�� q <br />Entering in or using all City of Eugene parks, open spaces orfacifities. <br />The basis for this Notice of Restriction of Use is that on 'ou violated Section fthe Park <br />and Open Space Rules, and/or Section of the Eu gene Code, 19'71, and/or ORS To wit, you: <br />Y �r_ TfV <br />(Description of the violation.) <br />This restriction of use is effective beginning on 11/1�jjj -, and shall remain in effect until <br />Ifyou 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 />In you, W�_ y pe7sonnel in Me* M u1c Incluent ulat resunm In Lnis Mouce, unu vull7i 7711c;77, <br />incident, The Division Director may exclude anyone, other than you and those presenting testimony, from the informal hearing. <br />This Noticeshall rernain 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 />(Signaturetrson iJsuinWUeli�� <br />IN I iiiiiiii MINIMUM III WIN I ill I <br />Name: Last First Middle <br />DOB: <br />Race"Sex: <br />fy) VG L <br />ANN <br />Res. Address: city <br />Zip <br />Res. Phone: <br />Work Phone <br />III <br />III I ;qVill III 1 11 li; 111 11111 11 jll�ill Ill p " I 11 1 Ill i Ili l�� q <br />Entering in or using all City of Eugene parks, open spaces orfacifities. <br />The basis for this Notice of Restriction of Use is that on 'ou violated Section fthe Park <br />and Open Space Rules, and/or Section of the Eu gene Code, 19'71, and/or ORS To wit, you: <br />Y �r_ TfV <br />(Description of the violation.) <br />This restriction of use is effective beginning on 11/1�jjj -, and shall remain in effect until <br />Ifyou 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 />In you, W�_ y pe7sonnel in Me* M u1c Incluent ulat resunm In Lnis Mouce, unu vull7i 7711c;77, <br />incident, The Division Director may exclude anyone, other than you and those presenting testimony, from the informal hearing. <br />This Noticeshall rernain 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 />(Signaturetrson iJsuinWUeli�� <br />IN I iiiiiiii MINIMUM III WIN I ill I <br />