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NOTICE OF RESTRICTION OFUSE <br />and Notice of Right to Appeal <br />DATE: -- YA/io TIME: CASE <br />LOCATION (PARK/0PEN SPACE): <br />0 IIII <br />-/-r- -PY,2r— <br />11111 71111 1111111 il 1111 1 11111 iii 1 11 IIFI III <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />The basis for this Notice of Restriction of Use is that on you violated Section /- 0jo (V 0 the Park <br />and Open Space Rules, and/or Section I 'i-- of the E ugene Code, 1971, and/or ORS —,—. To wit, you: <br />CA /I IRK 7 L, <br />(Description of the violation.) L <br />This restriction of use is effective beginning on <br />V 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 - 074 you are entitled to an informal hearin g to contest this Notice. A request ilor an <br />infra rma I hearing must be made in writin and filed with the Parks & Open Space Division D irector ("the Division Director") <br />within 48 hours (exclusive of weekends) of receipt of this Notice at the following address 1820 Roosevelt, Blvd., III r, 0 R <br />97402. <br />]VINIVII kY1fUIIA 1`, a �kElc d11U �rld-C iOl Ll xxlijl� Lila. <br />72 hours (exclusive of weekends) of receipt of the request for hearing. At the informal hearing the Division Director will unly <br />consider testimony from you, City personnel involved in the incident that resutted in this Notice, and other witnesses to the <br />incident. The Di vi sion Director may exclude anyone, other than you and those presenting testimony, from the i n forms I hearing, <br />This Notice shall rernain 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 to and time shownsitioII by: <br />--p4 1 / 0 � <br />7V111 --- — -- ----------- <br />(Signature of person isquing/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 />Whae Copy-, Pubtic Wufk (3yeen Copy, r ire YetEY& CQPY: Repon capp Pink Copy Recipient GkAtt (- upy: O fficer Appeal natiec: Ro, iMN13 <br />Narne. Last First Middle <br />DOH/ <br />RacL "s - <br />CA K <br />Res. Address: City <br />State <br />Zip <br />Res. Phone: <br />Work Phoney� <br />11111 71111 1111111 il 1111 1 11111 iii 1 11 IIFI III <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />The basis for this Notice of Restriction of Use is that on you violated Section /- 0jo (V 0 the Park <br />and Open Space Rules, and/or Section I 'i-- of the E ugene Code, 1971, and/or ORS —,—. To wit, you: <br />CA /I IRK 7 L, <br />(Description of the violation.) L <br />This restriction of use is effective beginning on <br />V 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 - 074 you are entitled to an informal hearin g to contest this Notice. A request ilor an <br />infra rma I hearing must be made in writin and filed with the Parks & Open Space Division D irector ("the Division Director") <br />within 48 hours (exclusive of weekends) of receipt of this Notice at the following address 1820 Roosevelt, Blvd., III r, 0 R <br />97402. <br />]VINIVII kY1fUIIA 1`, a �kElc d11U �rld-C iOl Ll xxlijl� Lila. <br />72 hours (exclusive of weekends) of receipt of the request for hearing. At the informal hearing the Division Director will unly <br />consider testimony from you, City personnel involved in the incident that resutted in this Notice, and other witnesses to the <br />incident. The Di vi sion Director may exclude anyone, other than you and those presenting testimony, from the i n forms I hearing, <br />This Notice shall rernain 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 to and time shownsitioII by: <br />--p4 1 / 0 � <br />7V111 --- — -- ----------- <br />(Signature of person isquing/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 />Whae Copy-, Pubtic Wufk (3yeen Copy, r ire YetEY& CQPY: Repon capp Pink Copy Recipient GkAtt (- upy: O fficer Appeal natiec: Ro, iMN13 <br />