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NOTWE OF RESTRICTION OF USE <br />aild Notice of Right to Appeal <br />DATE: G3AoJ1,tf TIME: /As 1— � CASE #: <br />q56Nt4-1- <br />IS7-99.3s e <br />LOCATION (PARK/OPEN SPACE). WFcqqc�v <br />FEES i1 Ill! liffil <br />)I 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 rep k tar <br />­ -1 / 4; 2- � ---- <br />and Open Space Rules, andlor Section cltLKI _ of the Eugene Code, 197 and/or ORS ---, To wit, you:_ <br />(Description of the violation.) <br />This restriction of use is effective beginning on L-7 LI,tarts shall remain in effect until ­0- � -01 <br />If you enter in or use any City of Eugene park, open space or facility during the of period of this Notice, you may be <br />arrested and charged with crilininal 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 an <br />informal 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 L Imul oexclusive ot wucm: [JUN I LJi 77771pi ol Me r7qu7s7or nuarlilig. ftt LHC ni 101. Mai Hc1uTuIg: H ljklQ�Wl W ILL uk"Y <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 infornial hearing. <br />This Notice sball real in effect pendilliling any reque%ted bearing. <br />This Notice of Exclusion was delivered to the person earned at the top of this Notice at the date and time shown above by; <br />(Signature oFperson issuing/delivering notice) <br />qLY9 <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 />'Alifte Copy: Rnhlic Works Grcen Copy: Ville Y e I low C' opy; Ruport Copy Pink Copy R ucipient Gold Copy: Officer Appeal norice Rev 04/0 <br />Naine: Last First Middle, <br />DOB <br />R Jce,`Sev <br />z <br />c. <br />Al <br />Res, Address, City <br />State <br />Zip <br />Res. Phone: <br />Work Phone: <br />FEES i1 Ill! liffil <br />)I 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 rep k tar <br />­ -1 / 4; 2- � ---- <br />and Open Space Rules, andlor Section cltLKI _ of the Eugene Code, 197 and/or ORS ---, To wit, you:_ <br />(Description of the violation.) <br />This restriction of use is effective beginning on L-7 LI,tarts shall remain in effect until ­0- � -01 <br />If you enter in or use any City of Eugene park, open space or facility during the of period of this Notice, you may be <br />arrested and charged with crilininal 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 an <br />informal 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 L Imul oexclusive ot wucm: [JUN I LJi 77771pi ol Me r7qu7s7or nuarlilig. ftt LHC ni 101. Mai Hc1uTuIg: H ljklQ�Wl W ILL uk"Y <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 infornial hearing. <br />This Notice sball real in effect pendilliling any reque%ted bearing. <br />This Notice of Exclusion was delivered to the person earned at the top of this Notice at the date and time shown above by; <br />(Signature oFperson issuing/delivering notice) <br />qLY9 <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 />'Alifte Copy: Rnhlic Works Grcen Copy: Ville Y e I low C' opy; Ruport Copy Pink Copy R ucipient Gold Copy: Officer Appeal norice Rev 04/0 <br />