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NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATE: Zo j S� TIME: 7S2 CASE #: <br />LOCATION (PARK/OPEN SPACE) <br />z <br />4-Q <br />Nanie: Last irst e <br />DOI <br />OK <br />00 900 <br />Racc/SeV I <br />' A ddre, C ity <br />g I �S <br />41' <br />-,R PI 1 11 <br />I N t, 4 <br />Wm -k Phone: <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 b elo of the Park <br />en Space Rules, andJor Section of the Eugene Code, 1971, and/or ORS -. To wit, you: <br />A % i <br />(Description of the violation.) <br />This restriction of use is effective beginning on h I and shall remain in effect until <br />05166 <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 RA .074 you are entitled to an infon 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 �ours (exclusive of weekends) (if receint (if tlmio, Notice at the fh1jnwjagaddtPsN- IV20 1, Faawvelt, NIN47-, CLIP-LuLalk <br />White Copy: Public Works Green Copy: Fite Ye I I ow Copy: KepoTt C (Ty= Pink Copy: ReQiph:n@ G ul l Copy! 0 fficer Appea noti c e Rev. 04 ,103 <br />