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Entering in or using all City of Eugene �parks, open spaces or facilities, <br />9 <br />The basis for this Notice of Restriction of Use is that on r you violated Section _1 0jiC1qj oft e Park <br />and Open Space Rules, and/or Section H & 0-7 of the Eugene Code, 1971, and /or ORS - — ------------- To wit, you: <br />. .......... <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall remain in effect until <br />If you enter in or use any City ot'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 />The Division Director shall schedule a time and place for the infortnal hearing to be conducted, which shall be not more than <br />72 hours <br />consider testiniony 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 informal hearing. <br />This Notice shall rernain in effect pending any requested hearing. <br />This Notice ofExelusion was delivered to the person named at the top of this Notice at the date and time shown above by: <br />- - -------- <br />(Signature of person issuing/defivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />-2 <br />(Signature of person being issued the notice) <br />WI4ite Copy: Public Wiaks Green Copy: Site Yellow Copy; Report Copy Pink Copy! Recipient Gold Copy: Officer Appeal natice Rev, 04/0,3 <br />Name: Last First <br />Middle <br />D013 <br />6- <br />Res. Address: City <br />State <br />Zip <br />Res, Phone: <br />Work Phcne; <br />Entering in or using all City of Eugene �parks, open spaces or facilities, <br />9 <br />The basis for this Notice of Restriction of Use is that on r you violated Section _1 0jiC1qj oft e Park <br />and Open Space Rules, and/or Section H & 0-7 of the Eugene Code, 1971, and /or ORS - — ------------- To wit, you: <br />. .......... <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall remain in effect until <br />If you enter in or use any City ot'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 />The Division Director shall schedule a time and place for the infortnal hearing to be conducted, which shall be not more than <br />72 hours <br />consider testiniony 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 informal hearing. <br />This Notice shall rernain in effect pending any requested hearing. <br />This Notice ofExelusion was delivered to the person named at the top of this Notice at the date and time shown above by: <br />- - -------- <br />(Signature of person issuing/defivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />-2 <br />(Signature of person being issued the notice) <br />WI4ite Copy: Public Wiaks Green Copy: Site Yellow Copy; Report Copy Pink Copy! Recipient Gold Copy: Officer Appeal natice Rev, 04/0,3 <br />