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NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATE: <br />-x ------ - <br />p 11 0 CLC 5 <br />LOCATION (PARK/OPEN SPACE): LL <br />y1ii i T 10 1 <br />e Entering in or using all City of Eugene parks, open spaces or facilities. <br />I* <br />The basis for this Notice of Restriction of Use is that on you violated Section LA 61 of the Park <br />and 0 en Space Rules, and/or Section 'q- D A�) of the Eugene Code, 1971, and/or ORS To wit, You: <br />p <br />(Description of the violation.) <br />041 IC <br />This restriction of use is effective heginning on and shall remain in effect until <br />If you enter in or use any City of Eugene park, open space or facility during the of period of this Notice, you may be <br />arrested and charged with criminal trespass in the second degree. <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 may exclude anyone, other than you and those presenting testimony, from the informal hearing, <br />'This Notice shall renvain 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 />- ----------- <br />(Signature of person issulzig/Itelivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />M <br />(Signature of person being issued the notice) <br />Whitc Copy: Public Works Green Copy! File Ye I low Copy Report Copy Pink Copy: Recipient Gold Cupy: Officer Appeal notice Re%, 04,'03 <br />Name: Last First Middle <br />DOR: <br />Race/Sex: <br />Res. Address: City <br />City <br />State <br />Zip <br />Res, Phone: <br />Work Phone: <br />y1ii i T 10 1 <br />e Entering in or using all City of Eugene parks, open spaces or facilities. <br />I* <br />The basis for this Notice of Restriction of Use is that on you violated Section LA 61 of the Park <br />and 0 en Space Rules, and/or Section 'q- D A�) of the Eugene Code, 1971, and/or ORS To wit, You: <br />p <br />(Description of the violation.) <br />041 IC <br />This restriction of use is effective heginning on and shall remain in effect until <br />If you enter in or use any City of Eugene park, open space or facility during the of period of this Notice, you may be <br />arrested and charged with criminal trespass in the second degree. <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 may exclude anyone, other than you and those presenting testimony, from the informal hearing, <br />'This Notice shall renvain 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 />- ----------- <br />(Signature of person issulzig/Itelivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />M <br />(Signature of person being issued the notice) <br />Whitc Copy: Public Works Green Copy! File Ye I low Copy Report Copy Pink Copy: Recipient Gold Cupy: Officer Appeal notice Re%, 04,'03 <br />