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IF Ii 1 ! 1 1 I'll I III I III I ilill!ll!ll:lii�illilll!llI 11 11111!111''11 11!111 '!111 � 1111 <br />The basis for this Notice of Restriction of Use is that on w you violated Section I —ao—, of the Park <br />and Open Space Rules, and/or Section,' i 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 e t shall remain in effect until Ax. <br />) q /Ca ml — <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 info al hearing to contest this Notice. A request for art <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 of this 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 (exclusive of weekends) of receipt of the request for hearing. At the infonnal hearing the Division Director wilt 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 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 o person being issued the noti � <br />Copy! Public Works Careen Copy: File Yellow Copy: Report Cop Pink Cupy: RuQiplc�t Gold C o py: Of ficer Appea notice rev W 103 <br />Name: Last First <br />DOB: <br />Racci.Se <br />N Middle <br />P4 �b AI <br />- 7 <br />6� Al <br />Res. Address: City <br />State <br />P <br />Res. Phonc: <br />Work Phone: <br />--------------- - <br />IF Ii 1 ! 1 1 I'll I III I III I ilill!ll!ll:lii�illilll!llI 11 11111!111''11 11!111 '!111 � 1111 <br />The basis for this Notice of Restriction of Use is that on w you violated Section I —ao—, of the Park <br />and Open Space Rules, and/or Section,' i 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 e t shall remain in effect until Ax. <br />) q /Ca ml — <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 info al hearing to contest this Notice. A request for art <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 of this 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 (exclusive of weekends) of receipt of the request for hearing. At the infonnal hearing the Division Director wilt 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 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 o person being issued the noti � <br />Copy! Public Works Careen Copy: File Yellow Copy: Report Cop Pink Cupy: RuQiplc�t Gold C o py: Of ficer Appea notice rev W 103 <br />