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NOTICE OF RESTRICTION OF USE� <br />and Notice of Right to Appeal <br />DATE: <br />TIME: 12 Lf 0 <br />ac mllA� <br />CASE#: <br />LOCATION (PARK/OPEN SP E): 9 AAlk 0 11 �K <br />(Description of the violation,,) <br />This restriction of use is effective beginning on Py-�, 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 iDfotTnal 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 Dircctor ("the Division Director") <br />within 49 hours (exclusive of weekends) of of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />72 hours I exclusive of weekends) of reccipt of the res?,,uest for heariuA,, At the informal hearing the Division Director will aa4 <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, otber than you and those presenting testimony, from the informal hearing, <br />Thi% Notice shall remain 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 issuing/delivering notice) <br />I hereby acknowledge receipt of the above Noticc on the date and time indicated above. <br />(Signature of person being issued the notice) <br />While Copy: Public Works Green Copy File Yd1ow Copy: Repuyt ( UPY Pink C upy: Reu i p i ent Cv il d Copy: 0 fficer A ppeal notice ➢ec, 04MI <br />Name: La�"t First Middle <br />I )B <br />acc/Se .": <br />L m <br />Res. Address: City <br />It <br />State <br />z <br />Zip <br />Res, Phone� <br />Work Phone: <br />04 <br />4 11� VA. <br />(Description of the violation,,) <br />This restriction of use is effective beginning on Py-�, 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 iDfotTnal 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 Dircctor ("the Division Director") <br />within 49 hours (exclusive of weekends) of of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />72 hours I exclusive of weekends) of reccipt of the res?,,uest for heariuA,, At the informal hearing the Division Director will aa4 <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, otber than you and those presenting testimony, from the informal hearing, <br />Thi% Notice shall remain 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 issuing/delivering notice) <br />I hereby acknowledge receipt of the above Noticc on the date and time indicated above. <br />(Signature of person being issued the notice) <br />While Copy: Public Works Green Copy File Yd1ow Copy: Repuyt ( UPY Pink C upy: Reu i p i ent Cv il d Copy: 0 fficer A ppeal notice ➢ec, 04MI <br />