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Entering in or using all City of Eugene parks, open spaces or facilities. <br />110] <br />The basis for this Notice of Restriction of Use is that, tin t '0 10 (f the P k ar <br />11 you violated Section <br />and Open Space Rules, and/or Section If 0 of the Eugene Code, 1971, and/or ORS . To wit, you: <br />v. <br />Fl -0 __-- -- ----- - - ----- <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall remain in of until J) 7 <br />L_ <br />If you enter in or use any City of Eugene park, opcn 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 infortnal hearing to contest this Noticc. 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 (CXCIUSiVC 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 than <br />72 hours (exclusive of weekends) of'reccipt ofthe 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 info al 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 at the date and time showD above by: <br />(Signature of person issuing/delivering notice) <br />I hereby acknowledge receipt o the above Notice on the date and time indicated above. <br />(Signature of person being issued the notice) <br />White Copy; Public Works Circus Copy: File Yellow Copy: Report COPY Pink Copy: Recipient bold Copy Offic or Appcal n o d c u Rev. 04 33 <br />Name. Last First Middle <br />DOB <br />lac e� <br />m) MIII <br />3 0 <br />des. Address: <br />State <br />Zip <br />Rcs. Phone: <br />Wrnk Nione: <br />AA JIA <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />110] <br />The basis for this Notice of Restriction of Use is that, tin t '0 10 (f the P k ar <br />11 you violated Section <br />and Open Space Rules, and/or Section If 0 of the Eugene Code, 1971, and/or ORS . To wit, you: <br />v. <br />Fl -0 __-- -- ----- - - ----- <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall remain in of until J) 7 <br />L_ <br />If you enter in or use any City of Eugene park, opcn 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 infortnal hearing to contest this Noticc. 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 (CXCIUSiVC 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 than <br />72 hours (exclusive of weekends) of'reccipt ofthe 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 info al 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 at the date and time showD above by: <br />(Signature of person issuing/delivering notice) <br />I hereby acknowledge receipt o the above Notice on the date and time indicated above. <br />(Signature of person being issued the notice) <br />White Copy; Public Works Circus Copy: File Yellow Copy: Report COPY Pink Copy: Recipient bold Copy Offic or Appcal n o d c u Rev. 04 33 <br />