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NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />L <br />17 <br />DATE: TIME: CASE 4: <br />ji <br />LOCATION (1 SPACE): <br />a. <br />� III III Jill <br />111 11111 Jill I 111 1 !111 111 11 I�� liqll Jill IIIIIV III III I !�iiill illpql� III IF I <br />li(I Entering inor using oil City of Eugene parks, open spaces or facilitiliel <br />X <br />4 The basis for this N otice of Restriction of Use is that on you violated Section " L of the Park — <br />and Open Space Rules, and/or Section of the Eugene Code, 1971„ andlor ORS —. To wit, you:_ <br />CfiPh,&4"W (2q <br />(Description of the violation.) <br />This vestriction of use is effective beginning on VL- and shall remain in effect until 0 1 - A <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. 0 74 you are entitled to an informal hearing to contest th is N otice. 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 />97402. <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 Division Director will only <br />consider testimony front 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 of this Notice at the date and tirne shown above by: <br />------- ----- <br />person f <br />(Signa, re o p issuing delivering notice) <br />1 P " <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above., <br />C) tj <br />(Signature of person being issued the notice) <br />5111111 <br />White Copy: Public Works Green Copy: Fils Y u i low Copy: Repo. ri C o py Pink Copy: Recipient Gol!d Copy. Officer Appeal notice Rev 04.103 <br />Nlarn :Last First Middle <br />DOB, Ql <br />RacerSle : <br />Asp L C <br />� <br />7 <br />"I <br />Q4 <br />Re ddress- CiLy— <br />� w Eft! <br />ststaff <br />zap. <br />Res. Phone.: <br />Work Phone: <br />k1— <br />. . .1 ­--�j <br />a. <br />� III III Jill <br />111 11111 Jill I 111 1 !111 111 11 I�� liqll Jill IIIIIV III III I !�iiill illpql� III IF I <br />li(I Entering inor using oil City of Eugene parks, open spaces or facilitiliel <br />X <br />4 The basis for this N otice of Restriction of Use is that on you violated Section " L of the Park — <br />and Open Space Rules, and/or Section of the Eugene Code, 1971„ andlor ORS —. To wit, you:_ <br />CfiPh,&4"W (2q <br />(Description of the violation.) <br />This vestriction of use is effective beginning on VL- and shall remain in effect until 0 1 - A <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. 0 74 you are entitled to an informal hearing to contest th is N otice. 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 />97402. <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 Division Director will only <br />consider testimony front 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 of this Notice at the date and tirne shown above by: <br />------- ----- <br />person f <br />(Signa, re o p issuing delivering notice) <br />1 P " <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above., <br />C) tj <br />(Signature of person being issued the notice) <br />5111111 <br />White Copy: Public Works Green Copy: Fils Y u i low Copy: Repo. ri C o py Pink Copy: Recipient Gol!d Copy. Officer Appeal notice Rev 04.103 <br />