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NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATE: 0 E <br />. njLL5 TIME: I CAS <br />au g S ,- <br />LOCATION (PARK/OPEN <br />I I "I � I � I I � � I i I � 111111 Ill 11111 <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 j03dff----, you violated Section 1-01—o of the Park <br />and Open Space Rules, and/or Section of the Eugene Code, 197 1, and/or ORS To wit, you:_ <br />(Description of the violation.) <br />'This restriction of use is effective beginning on-klU -T-1 acid shall remain in effect until 11�— <br />�J- <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 S pate Rule R- 1.074 you are entitled to an informal hearing to contest this N otice. 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 />97401 <br />The Division Director shall schedule a time and place ficir the informal 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 Division 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 effect pending any requested hearing. <br />This Notice of Exclusion was delivered to the person named at the top of this No ' e at the date and time shown above by: <br />� 1 <br />ol'person issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and tirne inkS:a above. <br />(Signature of person being issued the notice) <br />White C upy : Pub Works Grcen Cnpy! File Yellow Copy: Report Copy Pitik Cupy: Recipient G ol J Cupy � Officer Appeal notice Rev, 04,103 <br />Name: Last Finla Nliddl0 <br />DOB� <br />R, <br />A40 1-F 7 <br />Lil <br />Res. Address- City <br />State <br />Zip <br />Res. phone: <br />Work Phone: <br />A <br />I I "I � I � I I � � I i I � 111111 Ill 11111 <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 j03dff----, you violated Section 1-01—o of the Park <br />and Open Space Rules, and/or Section of the Eugene Code, 197 1, and/or ORS To wit, you:_ <br />(Description of the violation.) <br />'This restriction of use is effective beginning on-klU -T-1 acid shall remain in effect until 11�— <br />�J- <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 S pate Rule R- 1.074 you are entitled to an informal hearing to contest this N otice. 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 />97401 <br />The Division Director shall schedule a time and place ficir the informal 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 Division 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 effect pending any requested hearing. <br />This Notice of Exclusion was delivered to the person named at the top of this No ' e at the date and time shown above by: <br />� 1 <br />ol'person issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and tirne inkS:a above. <br />(Signature of person being issued the notice) <br />White C upy : Pub Works Grcen Cnpy! File Yellow Copy: Report Copy Pitik Cupy: Recipient G ol J Cupy � Officer Appeal notice Rev, 04,103 <br />