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il��11111111111 lillill ;llg�llj III II III Ii Ili' iiii I 11111111111111l Fill! 11111 Ii <br />1 1 C <br />The basis for this Notice of Restriction of Use is that on <br />' <br />you violated Section (�O <br />–&Ik- - of the Park <br />and en Space Rules, and/or Section CyC of the Eugene Code, 1971, and/or ORS To wit, you:_ <br />(Description of the violation.) <br />T h 14� <br />is restriction of use is ff <br />eective beginning on --� 4� 1 �1, and shall remain in effect until d-10 <br />tf 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 for an <br />informal hearing niust 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 th <br />72 hours (exclusive of weekends, of receipt of the recruest for hearinu. At the informal hearini the Divisiii Director will on] <br />I LUIV�Jucl IrNle][11VIlly J-1-CITH YOU, 7.7y p777777771, Involvell 17 Me 777177 LOT resuaeu in MIS Noucc, anu otncr witnesses to <br />incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the infornial hearin <br />T his Notice shall remain in effect pending any requested hearing. I <br />This Notice of Exclusion was delivered to the person named at the top of this Notice at the date and firne shown above by: <br />- -- - -- ---------- - ---- <br />(Signature of person issuing/delivering ElOtiCe) <br />1 hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(Signature of person being issued the notice) <br />While Copy� Public Workt Green Copy: File Yclhm Copy; Rupon Copy Pink Copy: Rceirienl! Gold Copy; Offieei Appeal mitice Rev- 04M <br />Name: Last First Middle <br />DOB: <br />Ra -S <br />Res. A ddres s <br />Zip <br />Res. Ph�)ne: <br />Work Phone: <br />4 <br />il��11111111111 lillill ;llg�llj III II III Ii Ili' iiii I 11111111111111l Fill! 11111 Ii <br />1 1 C <br />The basis for this Notice of Restriction of Use is that on <br />' <br />you violated Section (�O <br />–&Ik- - of the Park <br />and en Space Rules, and/or Section CyC of the Eugene Code, 1971, and/or ORS To wit, you:_ <br />(Description of the violation.) <br />T h 14� <br />is restriction of use is ff <br />eective beginning on --� 4� 1 �1, and shall remain in effect until d-10 <br />tf 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 for an <br />informal hearing niust 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 th <br />72 hours (exclusive of weekends, of receipt of the recruest for hearinu. At the informal hearini the Divisiii Director will on] <br />I LUIV�Jucl IrNle][11VIlly J-1-CITH YOU, 7.7y p777777771, Involvell 17 Me 777177 LOT resuaeu in MIS Noucc, anu otncr witnesses to <br />incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the infornial hearin <br />T his Notice shall remain in effect pending any requested hearing. I <br />This Notice of Exclusion was delivered to the person named at the top of this Notice at the date and firne shown above by: <br />- -- - -- ---------- - ---- <br />(Signature of person issuing/delivering ElOtiCe) <br />1 hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(Signature of person being issued the notice) <br />While Copy� Public Workt Green Copy: File Yclhm Copy; Rupon Copy Pink Copy: Rceirienl! Gold Copy; Offieei Appeal mitice Rev- 04M <br />