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NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATE: TIME O&S J CASE #.- <br />b�5��jb,�46 <br />LOCATION (IIARKIOPEN SPACE): /A) f;!S� c- <br />ti <br />X <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />a <br />The basis for this Notice of Restriction of Use is that on fl t/ <br />/5 you violated Section ,] of the Park <br />and Open Space Rules, and/or Section of the Eugene Code, 1971, and/or ORS I To wit, you: <br />(, 1, S . ' / i);w &)- A4,6w, <br />(Description ref f the violation.) <br />This restriction of use is effective beginning on and shall remain iu effect until <br />The Division Director shal schedule a time and place for the informal hearing to be conducted, which shall be not more than <br />7? hours (exclusive ol'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 Exclusion was delivered to the person stained at the top of this N <br />I hereby acknowledge receipt of the above Notice on the date and time indices' <br />being issued the notice) <br />WIMC CQJIC I'Liblic Works Green Copy: File Yellow Copy: Report Copy Pink Copy: Reciritnt G ild Copy: 0 fficer Appeal noti <br />Rev. 04.'03 <br />Narne: Last First Middle <br />I)OB: <br />- r 1) W <br />Res. Address: City <br />slale <br />n <br />Res. Phone: <br />WojK - Phone: <br />Tx" s.T Fr, oa <br />X <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />a <br />The basis for this Notice of Restriction of Use is that on fl t/ <br />/5 you violated Section ,] of the Park <br />and Open Space Rules, and/or Section of the Eugene Code, 1971, and/or ORS I To wit, you: <br />(, 1, S . ' / i);w &)- A4,6w, <br />(Description ref f the violation.) <br />This restriction of use is effective beginning on and shall remain iu effect until <br />The Division Director shal schedule a time and place for the informal hearing to be conducted, which shall be not more than <br />7? hours (exclusive ol'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 Exclusion was delivered to the person stained at the top of this N <br />I hereby acknowledge receipt of the above Notice on the date and time indices' <br />being issued the notice) <br />WIMC CQJIC I'Liblic Works Green Copy: File Yellow Copy: Report Copy Pink Copy: Reciritnt G ild Copy: 0 fficer Appeal noti <br />Rev. 04.'03 <br />