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NOT)ICE OF RESTRICTION OF USE <br />and Notice ofRight to Appeal <br />DATE: C�ItAkOIIIII <br />TIME <br />5Ut `�(e3kt <br />CASE #: <br />LOCATION l PARK/OPEN SPACE): wtt;i — I <br />cou S <br />�p Entering in or using all City of Eugene parks, open spaces or facilities. <br />El <br />The basis liar this Notice of Restriction of Use is that on 0 4 k -, you violated Section P,,-,-0V1 of the Park <br />(Description of t e violatio <br />This restriction of use is effective beginning on o\ �--) and shall remain in effect until �4 <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 forate <br />infon hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Director") <br />within 48 hours (exclusive of weckendos) of'receipt of this Notice at the following address: 1820 Roosevelt, Blvd, Eugene, Olt <br />97402. <br />W C77ITIM7 MY 777cipT 7W MT 774777L Tot 1, ure Mal 17cat Int, Lilu ukVisioll Ulk rclorwpl, <br />consider testimony from you, City personnel involved in the, incident that resulted in this Notice, and other witnesws to the <br />incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the infonnal 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 of this Notice at the date and time shown above by: <br />C <br />(Signature of person issuing/deli4ering no ice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above, <br />u; <br />(Signature of person being issued the noucc) <br />White Copy. l'uhhu Works GrCell Copy; File Yellow Copy! Report Copy Pink Copy: Recipient Gold Copy: Officer Appeal notice R k!% 004 13 <br />Name: Last <br />First <br />ktiddle <br />DOB: <br />Race /Selo <br />NJ <br />l C <br />Res, Address: <br />city <br />State <br />Zip <br />Res. Phune <br />Work Phone: <br />�p Entering in or using all City of Eugene parks, open spaces or facilities. <br />El <br />The basis liar this Notice of Restriction of Use is that on 0 4 k -, you violated Section P,,-,-0V1 of the Park <br />(Description of t e violatio <br />This restriction of use is effective beginning on o\ �--) and shall remain in effect until �4 <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 forate <br />infon hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Director") <br />within 48 hours (exclusive of weckendos) of'receipt of this Notice at the following address: 1820 Roosevelt, Blvd, Eugene, Olt <br />97402. <br />W C77ITIM7 MY 777cipT 7W MT 774777L Tot 1, ure Mal 17cat Int, Lilu ukVisioll Ulk rclorwpl, <br />consider testimony from you, City personnel involved in the, incident that resulted in this Notice, and other witnesws to the <br />incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the infonnal 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 of this Notice at the date and time shown above by: <br />C <br />(Signature of person issuing/deli4ering no ice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above, <br />u; <br />(Signature of person being issued the noucc) <br />White Copy. l'uhhu Works GrCell Copy; File Yellow Copy! Report Copy Pink Copy: Recipient Gold Copy: Officer Appeal notice R k!% 004 13 <br />