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LOCATION (PARK/OPEN SPACE): <br />M <br />1111111 11 1F III I I I I III I <br />X <br />I J �4 ) 3 5 - <br />'he basis for o <br />this Notice r Restriction o Use is that on u 616 oft e Park yo violated Section L <br />and Open Space Rules, and/or Section of the Eugene Code, 1971, and/or ORS To wit, you: <br />A <br />M <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall remain in effect until 0 60 0 M <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 filed with the Parks & Open Space Division Director ("the Division Director") <br />within 48 hours (exclusive of weekends) of receipt of this N once at the fol [owing 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 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 i.nay exclude anyone, other than you and those presenting testimony, from the informal hearing. <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of Exclusion wag delivercd to the person named at the top of this No tice the date and time shown above by: <br />-------- -- <br />(Si Xalvre of person issuingl/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicate(Fabove, <br />(Signature of person being issued the notice <br />White Copy! Puh4 Work,% Green CUPY: Pile Yullaw Copy: Report Copy Pink Copy: Recipient C iold C opy. . O ff xr ,Appeal noi rcc Rev- NiM <br />— ----------------------------------- — - - — --- — --------------------- <br />Name: Last First Middle <br />DO& <br />I ?q <br />lk�we/sex: I I <br />SELLtArz,101 <br />[A—) <br />Res. Address": City <br />I <br />State <br />Zip <br />Res, Phone: <br />Work 1 <br />3 1� 6 t -c <br />1111111 11 1F III I I I I III I <br />X <br />I J �4 ) 3 5 - <br />'he basis for o <br />this Notice r Restriction o Use is that on u 616 oft e Park yo violated Section L <br />and Open Space Rules, and/or Section of the Eugene Code, 1971, and/or ORS To wit, you: <br />A <br />M <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall remain in effect until 0 60 0 M <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 filed with the Parks & Open Space Division Director ("the Division Director") <br />within 48 hours (exclusive of weekends) of receipt of this N once at the fol [owing 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 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 i.nay exclude anyone, other than you and those presenting testimony, from the informal hearing. <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of Exclusion wag delivercd to the person named at the top of this No tice the date and time shown above by: <br />-------- -- <br />(Si Xalvre of person issuingl/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicate(Fabove, <br />(Signature of person being issued the notice <br />White Copy! Puh4 Work,% Green CUPY: Pile Yullaw Copy: Report Copy Pink Copy: Recipient C iold C opy. . O ff xr ,Appeal noi rcc Rev- NiM <br />— ----------------------------------- — - - — --- — --------------------- <br />