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r111111111 IF[ 11,11 i1l;11 I iiii 1!!l 11111111 <br />0 <br />The basis for this Notice of Restriction of Use is that on you violated Section LLz-� (jid the Park <br />and Open Space Rules, an&or Section of the Eugene Code, 1971, and/or ORS - 1 To wit, you:_ <br />Lrr Aij( ) 94 <br />(Description of the violation.) <br />This restriction of use is effective beginning on ji:k � esld - j I and shall remain in effect until 0 , " I --S. <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 />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 Dlvl, Director wil I 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 hearing, <br />This Notice, shall remain in effect pending any requested hearing. <br />This Notice of Exclusion was delivered to the person named at the top (if this Notice at the date and time shown above by: <br />llst azure o--t� p livering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />V I <br />(Signature of person being issued the notice) <br />White Copy Pubi i c Works, Green Copy: File Ycllow Copy: Report Copy Pink Copy: Rccipicnt Gold Copy! Officer Appeal nollicc Rev, 04,103 <br />Name: swt_ First Mv I id d I e <br />DOB- <br />S,N <br />C <br />R Address: Cit <br />Zip <br />Res, Ph ne� <br />P <br />Work Phol <br />r111111111 IF[ 11,11 i1l;11 I iiii 1!!l 11111111 <br />0 <br />The basis for this Notice of Restriction of Use is that on you violated Section LLz-� (jid the Park <br />and Open Space Rules, an&or Section of the Eugene Code, 1971, and/or ORS - 1 To wit, you:_ <br />Lrr Aij( ) 94 <br />(Description of the violation.) <br />This restriction of use is effective beginning on ji:k � esld - j I and shall remain in effect until 0 , " I --S. <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 />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 Dlvl, Director wil I 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 hearing, <br />This Notice, shall remain in effect pending any requested hearing. <br />This Notice of Exclusion was delivered to the person named at the top (if this Notice at the date and time shown above by: <br />llst azure o--t� p livering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />V I <br />(Signature of person being issued the notice) <br />White Copy Pubi i c Works, Green Copy: File Ycllow Copy: Report Copy Pink Copy: Rccipicnt Gold Copy! Officer Appeal nollicc Rev, 04,103 <br />