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NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATE: 0 /is TIME- OV�_ CASE <br />LOCATION (PA R-K'OPEN SPACE): <br />W Entering in or using all City of Eugene parks, open spaces or facilities. <br />X <br />The basis for this Notice of Restriction of Use is that on 041blell <br />K-, you violated Section to of the Park <br />and Open Space Rules, d/ ®r Section of the Eugene Code, 1971, andJor ORS --. To wit, you:_ <br />kl%:7 IVINIULi UflL%A%A N' nT=TM=ralTIIFg cle cunsuckuu, <br />72 hours (exclusive ofweekends) of receipt of the request for hearing. At the informal hearing the Division Director will on <br />consider testimony from you, City perIsonnel involved in the incident that resulted in this Notice, and other witnesses to t <br />ot <br />Torn <br />incident. The Division Director may exclude anyone, other than you and those presenting testimony, ftom the informal bearin <br />,7 <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 oft is Notice at the date and time shown above by <br />' 0,461S. Y'a:" — - <br />(Signature of person isswing/defivering notice) <br />e� III Cj <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 />White Capv: Public Works Green Copy: He Yellow C opy; R" rt Copy Pink Copy; R"ipicni Geld Copy; Offil cer A ppeal notice RI, %, 184103 <br />Name Last First Middle <br />DOB� <br />7eRace 'S' ev <br />lse <br />2-j <br />Reg, Address: City State <br />Zip <br />Res. Phont: <br />Work Phone: <br />W Entering in or using all City of Eugene parks, open spaces or facilities. <br />X <br />The basis for this Notice of Restriction of Use is that on 041blell <br />K-, you violated Section to of the Park <br />and Open Space Rules, d/ ®r Section of the Eugene Code, 1971, andJor ORS --. To wit, you:_ <br />kl%:7 IVINIULi UflL%A%A N' nT=TM=ralTIIFg cle cunsuckuu, <br />72 hours (exclusive ofweekends) of receipt of the request for hearing. At the informal hearing the Division Director will on <br />consider testimony from you, City perIsonnel involved in the incident that resulted in this Notice, and other witnesses to t <br />ot <br />Torn <br />incident. The Division Director may exclude anyone, other than you and those presenting testimony, ftom the informal bearin <br />,7 <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 oft is Notice at the date and time shown above by <br />' 0,461S. Y'a:" — - <br />(Signature of person isswing/defivering notice) <br />e� III Cj <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 />White Capv: Public Works Green Copy: He Yellow C opy; R" rt Copy Pink Copy; R"ipicni Geld Copy; Offil cer A ppeal notice RI, %, 184103 <br />