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NOTICE OF RESTRICTION OF USE <br />DATE: <br />TIME: PAI) <br />5 � -5 � <br />�e <br />CASE #: 1q_z <br />LOCATION (PARK/OPEN SPACE): <br />X-1 <br />The basis for this Notice of Restriction of Use is that on - 7 you violated Section L I -. 0 1 <br />q 2-q C 1 <br />_0_61� of the Park <br />and Open Space Rules, and/or Section 6;�_ of the E ugene Code, 1971, anct/or ORS . To wit, you <br />lt-1 F655e% o af ),SL <br />(Description of the violation.) <br />This restriction of use is effective beginning on L I 7 , and shall remain in effect until 0 1 <br />J1 2/1-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 />Pursuant to Park and Open Space Rule R-1.07 you are entitled to an informal hearing to contest this Noticc. A request for an <br />infon 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) orreceipt ofthis Notice at the following address: 1920 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Dircctor 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 infornial 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 />incid ent. The Divi sion Director mail excl ude angione, other than �!ou and th ose - Aresenti n I testi from the informal heari n P._ <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 tune shown above by: <br />L" - 2-1- <br />(Sig , oLure of'person issuing(delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above, <br />(Signature of person being issued the notice) <br />whau 4 opy: Public Work Green Copy: File Yellow Copy; Repon Copy Pink Copy: Recipient Gold Copy 0 fficci A ppeal aciice Rev W103 <br />Nanie: Last <br />First Middle <br />DOB <br />lzace/se;$: <br />NJ Ci H I t-,A II' <br />PA Lk L 11�SFIO H <br />e <br />Res, Address: <br />City <br />St ate <br />Zip <br />Res. Phone: <br />Work Phone: <br />AN Si EF <br />X-1 <br />The basis for this Notice of Restriction of Use is that on - 7 you violated Section L I -. 0 1 <br />q 2-q C 1 <br />_0_61� of the Park <br />and Open Space Rules, and/or Section 6;�_ of the E ugene Code, 1971, anct/or ORS . To wit, you <br />lt-1 F655e% o af ),SL <br />(Description of the violation.) <br />This restriction of use is effective beginning on L I 7 , and shall remain in effect until 0 1 <br />J1 2/1-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 />Pursuant to Park and Open Space Rule R-1.07 you are entitled to an informal hearing to contest this Noticc. A request for an <br />infon 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) orreceipt ofthis Notice at the following address: 1920 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Dircctor 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 infornial 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 />incid ent. The Divi sion Director mail excl ude angione, other than �!ou and th ose - Aresenti n I testi from the informal heari n P._ <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 tune shown above by: <br />L" - 2-1- <br />(Sig , oLure of'person issuing(delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above, <br />(Signature of person being issued the notice) <br />whau 4 opy: Public Work Green Copy: File Yellow Copy; Repon Copy Pink Copy: Recipient Gold Copy 0 fficci A ppeal aciice Rev W103 <br />