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1111111 11111 � 111,11111111 ljl� 11�111 11; � ''Il!!I II � jjj� 11�!! 1 1111 1111 �� 1111 <br />W Entering in or using all City of Eugene parks, open spaces or facilities. <br />N <br />The basis for this Notice of Restriction of Use is that on you violated Section �6 � the Parr <br />acid Open Space Rules, and/or Section of the Eugene Code, 1971, and/or ORS —,—. To wit, you <br />(Description of the violation.) <br />This restriction of use is effective beginning on,?L <br />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- .074 you are entitled to an informal hearing to contest this Notice. A request for an <br />informal hearing must be rriade 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 date and time indicated above. <br />(Signature of person being issued the notice) <br />White Copy: Public Woyks Green copy: File 5'61ow Ccpy� Report Copy Pink Copy: Recipient Gold Copy Officv.r Appeal nonce ReN•, 04,103 <br />Name: Last First Middle <br />D01 <br />1 I <br />It, <br />City <br />R�es. City <br />State <br />Zip <br />Res. Phone-, <br />Woyk Phone: <br />ldd;css: <br />1111111 11111 � 111,11111111 ljl� 11�111 11; � ''Il!!I II � jjj� 11�!! 1 1111 1111 �� 1111 <br />W Entering in or using all City of Eugene parks, open spaces or facilities. <br />N <br />The basis for this Notice of Restriction of Use is that on you violated Section �6 � the Parr <br />acid Open Space Rules, and/or Section of the Eugene Code, 1971, and/or ORS —,—. To wit, you <br />(Description of the violation.) <br />This restriction of use is effective beginning on,?L <br />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- .074 you are entitled to an informal hearing to contest this Notice. A request for an <br />informal hearing must be rriade 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 date and time indicated above. <br />(Signature of person being issued the notice) <br />White Copy: Public Woyks Green copy: File 5'61ow Ccpy� Report Copy Pink Copy: Recipient Gold Copy Officv.r Appeal nonce ReN•, 04,103 <br />