NOTICE OF RESTRICTION OF USE <br />—A utlee -f }fig f. A I a.1 <br />I — R h / 4--11— <br />TIME: It V CASE #: /�-- R) <br />.Rdy <br />LOCATION (IIARK/OPEN SPACE):_ X- tv4 <br />1111 11111fi 11111 IF !1!111 11111111 11 1 � 111111� III I! 1 1 11 111 <br />gyiiii 11 <br />A Entering in or using all City of Eugene parks, open spaces or facilities. <br />X <br />The basis for this Notice of Restriction of Use is that on C� <br />you violated Section <br />and Open Space Rules, aDd/or Section -qJ,—Q(L- of the Eugene Code, 1971, and/or ORS <br />1 4 <br />Noun= <br />(Description of the violation.) <br />This restriction of use is effective beginning on47 �end 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 Ru R- 1.074 you are entitled to an informal hearin g to contest this Notice. A request for an <br />inforrual 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 following address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />I hereby acknowledge receipt of the above Notice on The dale and time indicatedabove. <br />(Signature of person being issued the notice) <br />White Copy: Publit� Work Greencopy: File 'Y ; Copy: Report C opy Pink Copy: Recipient bold Copy : Officer Appeal Riot ice Rev 04/01 <br />Name�. Last Middle <br />Race/Sex: <br />C V- 6(-JLE <br />41Po <br />s� <br />Re Address: City <br />State <br />Zip <br />des. Phone: <br />WW o r k i i e,,: <br />1111 11111fi 11111 IF !1!111 11111111 11 1 � 111111� III I! 1 1 11 111 <br />gyiiii 11 <br />A Entering in or using all City of Eugene parks, open spaces or facilities. <br />X <br />The basis for this Notice of Restriction of Use is that on C� <br />you violated Section <br />and Open Space Rules, aDd/or Section -qJ,—Q(L- of the Eugene Code, 1971, and/or ORS <br />1 4 <br />Noun= <br />(Description of the violation.) <br />This restriction of use is effective beginning on47 �end 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 Ru R- 1.074 you are entitled to an informal hearin g to contest this Notice. A request for an <br />inforrual 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 following address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />I hereby acknowledge receipt of the above Notice on The dale and time indicatedabove. <br />(Signature of person being issued the notice) <br />White Copy: Publit� Work Greencopy: File 'Y ; Copy: Report C opy Pink Copy: Recipient bold Copy : Officer Appeal Riot ice Rev 04/01 <br />