and Open Space Rules, and/or Section LLI of the Eugene Code, 1971, and/or ORLS - -- - ------ To wit, you: <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 Spacc Rule R - you arc entitled to an in formal hearing to contest this Notice. A request for an <br />infer al hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Dircctor <br />within 48 hours (exclusive of weekends) of'reccipt 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 for hearing. At the infion 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 informal hearing. <br />This Notice shall rernain in effect pending any requested hearing. <br />(Signature of person issuing/ delivering notice) <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 />White Copy: Public Work .t Green Copy: File Yellow Copy: Report Copy Pink Copy: Recipient Cold Copy: Officer Appeal nritikx Ruv. 0W03 <br />Name: Last Fii Middle <br />DOB: <br />Race" Sex: <br />:� �Ve `7 <br />S <br />A <br />k), <br />� <br />Res. Address: City <br />State <br />Zip <br />Res, Phone: <br />Work Phone: <br />,k) 5 (-,AJ I <br />and Open Space Rules, and/or Section LLI of the Eugene Code, 1971, and/or ORLS - -- - ------ To wit, you: <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 Spacc Rule R - you arc entitled to an in formal hearing to contest this Notice. A request for an <br />infer al hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Dircctor <br />within 48 hours (exclusive of weekends) of'reccipt 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 for hearing. At the infion 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 informal hearing. <br />This Notice shall rernain in effect pending any requested hearing. <br />(Signature of person issuing/ delivering notice) <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 />White Copy: Public Work .t Green Copy: File Yellow Copy: Report Copy Pink Copy: Recipient Cold Copy: Officer Appeal nritikx Ruv. 0W03 <br />