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NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATE: TIME'.: CASE 4: <br />LOCATION (PARK/OPEN SPACE) <br />111 1111 111 1111111 lipill Jill !III liq <br />J I III pill p <br />F 111 lipilippolill pill <br />K Entering in or using all City of Eugene parks, open spaces or facilities. <br />H <br />The basis for this Notice of Restriction of Use is that on you violated Section ILY <br />10— of the Park <br />and Open Space Rules, and/or Section —_ of t Eugene Code, 1971, and/or ORS To it you: <br />(Description of the violation.) <br />This restriction of use is effective beginning on al" l L � 1 and shall remain in effect until Oq � –1 �- <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- 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 Cited with the Parks & Open Space Division Director ("the Division Director") <br />within 48 hours (exclusive of weckends) 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 informal hearing to be conducted, which shall be not more than <br />72 hours (exclusive of weekends) of receipt of the request fur hearing. At the infiormal 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 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 Notice at the date and time shown above by: <br />(Signature of'person issuin efi , efing notiec) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above, <br />White Copy! fthfic Works Gretn Copy; File <br />(Signature of person being issued the notice) <br />Ye I I ow Copy: Report Copy Pink Copy: Recipient Gold Copy 0 Me or Appeal notice Rev.- 0403 <br />– <br />Name: Last Fir'A' Mid( le <br />— ------------ <br />DOB: <br />Ra S <br />zo, <br />M w <br />Res. Addrcss: City <br />rstft� <br />Zip <br />Res. Phorie: <br />Work 1 <br />111 1111 111 1111111 lipill Jill !III liq <br />J I III pill p <br />F 111 lipilippolill pill <br />K Entering in or using all City of Eugene parks, open spaces or facilities. <br />H <br />The basis for this Notice of Restriction of Use is that on you violated Section ILY <br />10— of the Park <br />and Open Space Rules, and/or Section —_ of t Eugene Code, 1971, and/or ORS To it you: <br />(Description of the violation.) <br />This restriction of use is effective beginning on al" l L � 1 and shall remain in effect until Oq � –1 �- <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- 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 Cited with the Parks & Open Space Division Director ("the Division Director") <br />within 48 hours (exclusive of weckends) 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 informal hearing to be conducted, which shall be not more than <br />72 hours (exclusive of weekends) of receipt of the request fur hearing. At the infiormal 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 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 Notice at the date and time shown above by: <br />(Signature of'person issuin efi , efing notiec) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above, <br />White Copy! fthfic Works Gretn Copy; File <br />(Signature of person being issued the notice) <br />Ye I I ow Copy: Report Copy Pink Copy: Recipient Gold Copy 0 Me or Appeal notice Rev.- 0403 <br />