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NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATE TIME: CASF-ft <br />Iq - - Z� 10 2,�7 <br />LOCATION (PARK/ OPEN SPACE): LA 14 ItJ& "J 3 (E f -:C) <br />Enteriug 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 Park <br />-h of the -q- ZK4- <br />and Open Space Rules, and/or Section — of the Eugene Code, 197 and/or OR . --. To wit, you: <br />W / opeA 6i AL-ee`1 <br />(Description of the violation.) <br />This restriction of use is effective beginning on WLV�11 and shall remain in effect until f4y-1-5-- <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 hcaring to contest this Notice. A request for an <br />informal bearing 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 />I.& nours t sive U1 WCCKc11Us) 01 lecemi or Tne request jul ucaliug. tit Me inT71151 nearing me ulvision 1-pirectoy win umny <br />consider testimony from you, City personnel involved in the incident that rMifted in this Notice, and other witnesses to the <br />incidcnt 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 cal' Exclusion was delivered to the person named at the top of this Notice at the date and time shown above by: <br />/vvir <br />I Sig tore of person issuing/delli notice) otice) <br />; i 9 4 , 11 <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above, <br />� v I Deo <br />(Signature of person being issued the notice) <br />whire Copy: Public works Green Copy: File Yellow Copy: Report Copy Pink Copy: Recipient Gold Copy! Officer AppeEd notice Rev- 04/03 <br />Nanic: Last First Middle <br />D013- <br />lzace/scy, <br />N 0 -S <br />24- 0 -7 <br />Res, Addre,": C i <br />i:i <br />zip <br />Res. Pfitme <br />ork Phcnc: <br />Enteriug 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 Park <br />-h of the -q- ZK4- <br />and Open Space Rules, and/or Section — of the Eugene Code, 197 and/or OR . --. To wit, you: <br />W / opeA 6i AL-ee`1 <br />(Description of the violation.) <br />This restriction of use is effective beginning on WLV�11 and shall remain in effect until f4y-1-5-- <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 hcaring to contest this Notice. A request for an <br />informal bearing 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 />I.& nours t sive U1 WCCKc11Us) 01 lecemi or Tne request jul ucaliug. tit Me inT71151 nearing me ulvision 1-pirectoy win umny <br />consider testimony from you, City personnel involved in the incident that rMifted in this Notice, and other witnesses to the <br />incidcnt 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 cal' Exclusion was delivered to the person named at the top of this Notice at the date and time shown above by: <br />/vvir <br />I Sig tore of person issuing/delli notice) otice) <br />; i 9 4 , 11 <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above, <br />� v I Deo <br />(Signature of person being issued the notice) <br />whire Copy: Public works Green Copy: File Yellow Copy: Report Copy Pink Copy: Recipient Gold Copy! Officer AppeEd notice Rev- 04/03 <br />