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Entering in or using all City of Eugene parks, open spaces or facilities. <br />0 <br />0 <br />The basis for this Notice of Restriction of Use is that on 6 low f the Park <br />you violated Section o <br />- <br />and Open Space Rules, and/or Section of the Eugene Code, 1971, and/or ORS --. To wit, you <br />(Description of the violation.) f <br />P his restriction of use is effective beginning on 09( 1 and shall remain in effect until <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 informal hearing to contest this Notice. A request For an <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 pkicc 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 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 named at the top of this Notice ° e date and time shcI above by: <br />Plxe�q <br />- -- ----- -- ---- ---------- <br />r, <br />I ignatur of 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 />White Cojw FuHic Works Urcen Copy: File Yellow Copy: rte )on Copy Pink Copy Re pient Gold Copy. Officcr Appcal notice Rc% 0 4/03 <br />Name: Last First <br />Middle <br />[)013 <br />Race `3e <br />Address: city <br />State <br />Zip <br />Res, Phone: <br />Work Phone: <br />AI <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />0 <br />0 <br />The basis for this Notice of Restriction of Use is that on 6 low f the Park <br />you violated Section o <br />- <br />and Open Space Rules, and/or Section of the Eugene Code, 1971, and/or ORS --. To wit, you <br />(Description of the violation.) f <br />P his restriction of use is effective beginning on 09( 1 and shall remain in effect until <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 informal hearing to contest this Notice. A request For an <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 pkicc 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 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 named at the top of this Notice ° e date and time shcI above by: <br />Plxe�q <br />- -- ----- -- ---- ---------- <br />r, <br />I ignatur of 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 />White Cojw FuHic Works Urcen Copy: File Yellow Copy: rte )on Copy Pink Copy Re pient Gold Copy. Officcr Appcal notice Rc% 0 4/03 <br />