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NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATE: 3 TIME J." -ml CASE <br />bAco n�0\9� <br />LOCATION (PARK/OPEN SPACE): Li <br />0 �- Entering in or using all City of Eugene parks, open spaces or facilities. <br />0 <br />The basis for this N otice of Restri o Use is that on you violated Section -0 1 of the Park- <br />and Open Space Rules, and/or Section of the Eugene Code, 1971, and/or 0 RS _. To wit, you - <br />(Description of the violation.) <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 />Pursuant to Park and Open Space Rule R-1.074 you are entitled to an informal hearing to contest this Notice. A request for art <br />informal hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Director") <br />within 48 hour-, (exclusive of weekends) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <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 />7 hours (exclusive of weekends) of receipt of the request for hearing. At the informal hearing the Division Director will only <br />consider testimony frorn you, City personnel involved in the incident that resulted in this Notice, and other svitnesses 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 OfEXCIUSion was delivered to the person named at the top of this Notice at the date d time shown above by: <br />(Signature 0'purson issuing/de iverinj notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />Ala <br />(Signaturc': ol'person being issued the notice) <br />White Copy: Public Works Green Copy: FiW YcHow Copy: Report Copy Pink Copy: Ri�,Cipicnt Udi d Copy: 0 fi ver Appeal noti Rc 04/01 <br />Name: Last First Middle <br />DOB, <br />Racc/Sox: <br />r. <br />-Auk'a. <br />,w <br />Res, Addwss: City <br />SI-q7-ip <br />Res. 1 <br />Work Phone� <br />Tkpw��E <br />0 �- Entering in or using all City of Eugene parks, open spaces or facilities. <br />0 <br />The basis for this N otice of Restri o Use is that on you violated Section -0 1 of the Park- <br />and Open Space Rules, and/or Section of the Eugene Code, 1971, and/or 0 RS _. To wit, you - <br />(Description of the violation.) <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 />Pursuant to Park and Open Space Rule R-1.074 you are entitled to an informal hearing to contest this Notice. A request for art <br />informal hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Director") <br />within 48 hour-, (exclusive of weekends) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <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 />7 hours (exclusive of weekends) of receipt of the request for hearing. At the informal hearing the Division Director will only <br />consider testimony frorn you, City personnel involved in the incident that resulted in this Notice, and other svitnesses 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 OfEXCIUSion was delivered to the person named at the top of this Notice at the date d time shown above by: <br />(Signature 0'purson issuing/de iverinj notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />Ala <br />(Signaturc': ol'person being issued the notice) <br />White Copy: Public Works Green Copy: FiW YcHow Copy: Report Copy Pink Copy: Ri�,Cipicnt Udi d Copy: 0 fi ver Appeal noti Rc 04/01 <br />