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NOTICE RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATE: <br />LOCATION (PARK/OPEN SPACE) <br />TIME: /.2al tto) <br />11 <br />CASE #: fo <br />Ritz <br />z <br />Name: La.qt M iddle <br />DOH: <br />-7, <br />Race'se <br />71 <br />�01 <br />ll� <br />- - - ------- <br />�8z 1011- <br />Res. Address: City <br />stato <br />Zip <br />Res. Pho= <br />Work Phone: <br />A&j <br />IM <br />I I I !I! � I! I I! Ili I I! I I I I I! I I! PRINTER I I III <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />El <br />The basis for this Notice of Restriction of Use is that on Jkad) you violated Section of the Park <br />and Open Space Rules, and/or Section of the Eugene Code, 1971, and/or ORS To wit, you._ <br />(,Description of the violation.) 164 <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 />Punwant 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 fol I owing address: 1820 Roosevelt, Blvd, Eugene, OR <br />97402. <br />i ne Tivision trecior 7 it sene iie a Time an piace MIT 7717 in jeaT111g kU U� 6U11U.1L1 <br />72 hours (exclusive of weekendis) ofreceipt of the request for hearing, At the informal hearing the Division Director 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 in fonnal 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 of this Notice at the date and time shown above by: <br />(Signature ofperson issuing/delivering notice) <br />I hereby acknowledge receipt of the ahove Notice on the date and time indicated above. <br />