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C �)b
<br />NOTICE OF RESTRICTION OF USE b
<br />and Notice of Right to Appeal
<br />DATE: &� 0-p 1-5 5
<br />TIME: CASE# /
<br />LOCATION (PARKJOPEN SPACE): &J" gt,-6 %s Awl-A
<br />i III � I I I I � I I I i I 1 11 111 Iq Fill I Jill
<br />C ,114,( Entering in or usiug all City of Eugene parks, open spaces or facilities.
<br />The basis for this Notice of Restriction of Use is that on you violated Section
<br />and Open Space Rules, and/or Section _;2, u? 9 of the Eugene Code, 1X171, and/or ORS _
<br />L CA PC — r. r r
<br />(Description of the violation.)
<br />of the Park
<br />To wit, you
<br />This restriction of use is effective beginning on - �� �/ , and shall remain in effect until OX/Llt�-/c
<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 ninde in writing and 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: 1 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 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 Fxclusion was delivered to the person named at the top of this Notice at the date and time shown above by:
<br />13
<br />— �Eebds VA-2
<br />(Signature ol'person issuing, notice)
<br />1 tj I/Cq
<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 Works Gn vn Cupy: Fik YeIllmy Copy, Report Copy Pink Copy: Rcclipieni Gold Copy: Officer Appeal notice Rev, 04HO
<br />Name: Last First Middle
<br />DOB:
<br />Race `Sex
<br />5 —ivilf'
<br />U
<br />Res, Address: city
<br />, State
<br />Fip
<br />Res, Phone:
<br />Work Phone:
<br />i III � I I I I � I I I i I 1 11 111 Iq Fill I Jill
<br />C ,114,( Entering in or usiug all City of Eugene parks, open spaces or facilities.
<br />The basis for this Notice of Restriction of Use is that on you violated Section
<br />and Open Space Rules, and/or Section _;2, u? 9 of the Eugene Code, 1X171, and/or ORS _
<br />L CA PC — r. r r
<br />(Description of the violation.)
<br />of the Park
<br />To wit, you
<br />This restriction of use is effective beginning on - �� �/ , and shall remain in effect until OX/Llt�-/c
<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 ninde in writing and 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: 1 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 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 Fxclusion was delivered to the person named at the top of this Notice at the date and time shown above by:
<br />13
<br />— �Eebds VA-2
<br />(Signature ol'person issuing, notice)
<br />1 tj I/Cq
<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 Works Gn vn Cupy: Fik YeIllmy Copy, Report Copy Pink Copy: Rcclipieni Gold Copy: Officer Appeal notice Rev, 04HO
<br />
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