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NanCE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATE. TIME: 6 "1 4 10 CASE 4 <br />�v�s � 32yo � <br />ne <br />LOCATION (PARK/OPEN SPACE) 'reA.1 Sf clees.-xi Ah fjk - ---------- <br />1! 111 PRIME Fill 111111 1111111111 1 IN 111 - 1 1 1 <br />(Description of the violation.) <br />This restriction of use is effective beginning on Q k — , and shall remain in effect until �6m <br />If you enter in or use any City of Eugcne 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 />info al 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 of this Notice at the following address: 1920 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 11OUTS (exclusive of weekends) of receipt of the request lor hearing. At the informal hearing the Division Director will only <br />consider testimony from you, City personnel invo ved 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 infor bearing. <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice or Exclusion was delivered to the person named at the top of this Notice at the date and time shown above by- <br />(Signature of person issuing delivering; notice) <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 />NI Copy: Public Works Gird -n Copy: rile Yellow Copy! Report Copy Pink Copy: Recipient Gold Copy: Offlucr Appeal notice Rcv, 04/03 <br />Name: Last Fiat Middle <br />DOB: <br />Ric e/Sex <br />x <br />Res. Address: City <br />State <br />Zip <br />Res. Phone� <br />W0Tk Phone <br />1! 111 PRIME Fill 111111 1111111111 1 IN 111 - 1 1 1 <br />(Description of the violation.) <br />This restriction of use is effective beginning on Q k — , and shall remain in effect until �6m <br />If you enter in or use any City of Eugcne 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 />info al 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 of this Notice at the following address: 1920 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 11OUTS (exclusive of weekends) of receipt of the request lor hearing. At the informal hearing the Division Director will only <br />consider testimony from you, City personnel invo ved 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 infor bearing. <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice or Exclusion was delivered to the person named at the top of this Notice at the date and time shown above by- <br />(Signature of person issuing delivering; notice) <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 />NI Copy: Public Works Gird -n Copy: rile Yellow Copy! Report Copy Pink Copy: Recipient Gold Copy: Offlucr Appeal notice Rcv, 04/03 <br />