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NOTICE OF RESTRICTION OFIJSE <br />DATE! <br />and Notice of Right to Appeal <br />" Mill 09 <br />CASE #: <br />. 975--7 <br />LOCATION (PARK/OPEN SPACE): L07T <br />i Firitering in or using all City of Eugene parks, open spaces or facilifie% <br />x <br />The basis for this Notice of Restriction of Use is that on 3, you violated Section 0) the Park- <br />and Open Space Rules, and,/or Section of the Eugene Code, 1471, and/or ORS To wit, you:_ <br />(Description of the violation.) <br />This restriction of use is effective beginning on -Tki L)15� and shall remain in effe xt until <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 />PUSUZIM 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 acrd filed with the Parks & Open Space Division Director ("the Division Director") <br />within 48 hours (exclusive of weekends) of receipt of this Notice at the following address: 120 Roosevelt, Blvd., Eugene, OR <br />97402. <br />I hereby acknowledge receipt of the above Notice on the datc and time indicated above. <br />(Signature of person being issued the notice) <br />White Copy: Public Workq Gre'ni I File V c I I ow Copy. RcporL Copy Pink Copy: Recipient Guld Copy: Offiecr Appeal nonce Rev- 041 03 <br />ame: Last F i r st iddle <br />rxi : <br />x Res. <br />Addrt-ss: City <br />State <br />jigs <br />Res. Phone: <br />Work Phone: <br />i Firitering in or using all City of Eugene parks, open spaces or facilifie% <br />x <br />The basis for this Notice of Restriction of Use is that on 3, you violated Section 0) the Park- <br />and Open Space Rules, and,/or Section of the Eugene Code, 1471, and/or ORS To wit, you:_ <br />(Description of the violation.) <br />This restriction of use is effective beginning on -Tki L)15� and shall remain in effe xt until <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 />PUSUZIM 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 acrd filed with the Parks & Open Space Division Director ("the Division Director") <br />within 48 hours (exclusive of weekends) of receipt of this Notice at the following address: 120 Roosevelt, Blvd., Eugene, OR <br />97402. <br />I hereby acknowledge receipt of the above Notice on the datc and time indicated above. <br />(Signature of person being issued the notice) <br />White Copy: Public Workq Gre'ni I File V c I I ow Copy. RcporL Copy Pink Copy: Recipient Guld Copy: Offiecr Appeal nonce Rev- 041 03 <br />