IF! 1 1 1 1111 <br />111 IgI 1!�111 qp111111 I I I 1 1111 iii <br />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 you violated Section . OTC- ",L of the Park <br />and Open Space Rules, and/or Section HA ')-) of the E ugene Code, 1971, and/or OR S ---, To wit, you:_ <br />It I I I I I'll I'll, pilli'!I I <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall remain in effect until 1 - r - <br />I f you cater in or use any City of Eugene park, open space or facility during the effective period of this Notice, y o u r ay be <br />arrested and charged with criminal trespass in the second degree. <br />Pursuant to Park and Open Space Rule 8. you are entitled to an infornia I 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 Directoe) <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 placc for the informal hearing to be conducted, which shall be not more than <br />72 hours (exclusive of weekends) of reecipt of the request for hearing, At the informal hCHTing 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 effcTt pending any requested hearing. <br />This Notice o4' Exclusion was delivered to the person named at the top of this Notice at the date and time shown above by: <br />(Signature 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 Copy! Public Works Green Cupy: File Y ellow Copy Report Copy Pink Copy; RecipiCTH Gold Copy. Ofl1kcrAppeal notice Rev- K'01 <br />Narne: Last Fir. Middle <br />DOB: <br />Race/sex: <br />7- C 7 <br />Res. d cityri <br />City <br />Stag <br />dip <br />Res. Phone: <br />Work Phone: <br />;AdfiI <br />IF! 1 1 1 1111 <br />111 IgI 1!�111 qp111111 I I I 1 1111 iii <br />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 you violated Section . OTC- ",L of the Park <br />and Open Space Rules, and/or Section HA ')-) of the E ugene Code, 1971, and/or OR S ---, To wit, you:_ <br />It I I I I I'll I'll, pilli'!I I <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall remain in effect until 1 - r - <br />I f you cater in or use any City of Eugene park, open space or facility during the effective period of this Notice, y o u r ay be <br />arrested and charged with criminal trespass in the second degree. <br />Pursuant to Park and Open Space Rule 8. you are entitled to an infornia I 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 Directoe) <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 placc for the informal hearing to be conducted, which shall be not more than <br />72 hours (exclusive of weekends) of reecipt of the request for hearing, At the informal hCHTing 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 effcTt pending any requested hearing. <br />This Notice o4' Exclusion was delivered to the person named at the top of this Notice at the date and time shown above by: <br />(Signature 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 Copy! Public Works Green Cupy: File Y ellow Copy Report Copy Pink Copy; RecipiCTH Gold Copy. Ofl1kcrAppeal notice Rev- K'01 <br />