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\\ U o iIt <br />NOTICE OF RESTRICTION OF USE <br />III 1 1 1111 111 1 1 111 111 1 111 111 1111 1 111 111 ]JI <br />1 1 1 IF I I I <br />(V <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />rl <br />The basis for this Notice of Restriction of Use is that on you violated Section 2a.-- Gfthe Park <br />and Open Space Rules, and/or Section - L_Qj_0 of the Eugene Code, 1971, and/or ORS -. To wit, you <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 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 orthis 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 (exc o I'weekends) of receipt ofthe 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 remain in effect pending any requested hearing. <br />This Notice of Exclusion was delivered to the person named at the top ofthis Notice at the date and time shown above by <br />(S ignature of person issuing; el ivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and firric indicated above, <br />(Signature of person being issued the notice) <br />White Copy: Public Works Green Copy: Fite Yellow Copy! Re Nrr Copy Pink Copy! Ri cipienl Gold Copy; 0 Meer Appeal no d c c Rev. 04/03 <br />Niine: Last U�-MM� Fi"I Middle <br />D( - )1 <br />Race/Sex� <br />Res, Address: City <br />State <br />Zip <br />Res. Phone <br />Work Phone: <br />III 1 1 1111 111 1 1 111 111 1 111 111 1111 1 111 111 ]JI <br />1 1 1 IF I I I <br />(V <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />rl <br />The basis for this Notice of Restriction of Use is that on you violated Section 2a.-- Gfthe Park <br />and Open Space Rules, and/or Section - L_Qj_0 of the Eugene Code, 1971, and/or ORS -. To wit, you <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 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 orthis 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 (exc o I'weekends) of receipt ofthe 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 remain in effect pending any requested hearing. <br />This Notice of Exclusion was delivered to the person named at the top ofthis Notice at the date and time shown above by <br />(S ignature of person issuing; el ivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and firric indicated above, <br />(Signature of person being issued the notice) <br />White Copy: Public Works Green Copy: Fite Yellow Copy! Re Nrr Copy Pink Copy! Ri cipienl Gold Copy; 0 Meer Appeal no d c c Rev. 04/03 <br />