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!!1111111 1 11 11111 11 '1' 1211 1!1111 11 � 11 ; 111 7 1111 1 1111 jj!� 111111 11111 1 1 1 1 <br />Entering 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 / of the lark <br />and Open Space Rule'', andlor Section of the Eugene Code, 1971, and/or ORS _. To wit, you: <br />(Description o the violation,) <br />"ell <br />This restriction of use is effective beginni on and shall remain in effect until <br />If you enter in or use any City o Eugene park, open <br />the effective period of this Notice, <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 flil'orTrial hearing to contest this Notice. A request for an <br />infonnal hearing must be inade in writing and filed with the Parks & Open Space Division Director ("the Division Directoi") <br />within 48 hours (exclusive oPweekends 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 inforrnal 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 D ivision 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 info al hearing. <br />This Notice shall remain in effeet pending any requested hearing, <br />This Notice of Exclusion was delivered to the person named at the top of this Notice at thLl -and fate shown above by: <br />' notice) <br />it ing/delivet <br />(Signature orperso is 6i <br />u <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(Signature ofperson being issued the notico) <br />White, Copy: Public Works Green Copy: File 1 ellow Copy. Report Copy Pink Copy: R ip ient Odd Copy: Officer Appe noo c L� Rev, 04 101 <br />Main Last Irst Middy <br />'A <br />DOB- <br />w <br />Res k druss: city <br />kA <br />State <br />Zip <br />Rcsf h <br />Work holle: <br />!!1111111 1 11 11111 11 '1' 1211 1!1111 11 � 11 ; 111 7 1111 1 1111 jj!� 111111 11111 1 1 1 1 <br />Entering 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 / of the lark <br />and Open Space Rule'', andlor Section of the Eugene Code, 1971, and/or ORS _. To wit, you: <br />(Description o the violation,) <br />"ell <br />This restriction of use is effective beginni on and shall remain in effect until <br />If you enter in or use any City o Eugene park, open <br />the effective period of this Notice, <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 flil'orTrial hearing to contest this Notice. A request for an <br />infonnal hearing must be inade in writing and filed with the Parks & Open Space Division Director ("the Division Directoi") <br />within 48 hours (exclusive oPweekends 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 inforrnal 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 D ivision 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 info al hearing. <br />This Notice shall remain in effeet pending any requested hearing, <br />This Notice of Exclusion was delivered to the person named at the top of this Notice at thLl -and fate shown above by: <br />' notice) <br />it ing/delivet <br />(Signature orperso is 6i <br />u <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(Signature ofperson being issued the notico) <br />White, Copy: Public Works Green Copy: File 1 ellow Copy. Report Copy Pink Copy: R ip ient Odd Copy: Officer Appe noo c L� Rev, 04 101 <br />