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NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATE: TIME: CASE #: - 7 1 <br />f <br />LOCATION (PARK/OPEN SPACE).--9&s-��C�6 �ode 5 <br />1111 !!fR1111 11111111111l�� <br />111 plivill 1111, 111 !! 111111 11111 Iii 4111111111 1,,", <br />�L Entering in or using all City of Eugene parks, open spaces or facilities. <br />F*7111, <br />The basis for this Notice of Restriction of Use is that on you violated Section — _0 of the Park <br />and Open Space Rules, and/or Section of the Eugene Code, 197 and/or ORS To wit, you; <br />d/1 <br />44, <br />(Description ofthe violation.) <br />This restriction of use is effective beginning on 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 ibis Notice. A request for an <br />. . . . . . . . . . . . . . <br />wl'unn <br />97402. <br />The Division Director shall schedule a time and place for the informal hearing to be conducted, which shall he not more than <br />72 hours (exclusive (if weekends) of receipt of the request for hearing. At the infon 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 Noti3the date, and I w K <br />, shon above <br />f J'e <br />_ _ oil <br />(Signatur f person issuing./delivering nolice) <br />While Copy. Public Works 6 reen Copy: File Yellow Copy L Repurt Copy Pink Copy: Rceipient Gold CopC Offices Appeal notice Rev- 04,'03 <br />First <br />Name ` L i M iddle <br />OB - <br />Rac '.I%c <br />Res. 4t6 Tres city <br />City <br />State <br />Zip <br />Res, Phone: <br />Work Phones� <br />1111 !!fR1111 11111111111l�� <br />111 plivill 1111, 111 !! 111111 11111 Iii 4111111111 1,,", <br />�L Entering in or using all City of Eugene parks, open spaces or facilities. <br />F*7111, <br />The basis for this Notice of Restriction of Use is that on you violated Section — _0 of the Park <br />and Open Space Rules, and/or Section of the Eugene Code, 197 and/or ORS To wit, you; <br />d/1 <br />44, <br />(Description ofthe violation.) <br />This restriction of use is effective beginning on 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 ibis Notice. A request for an <br />. . . . . . . . . . . . . . <br />wl'unn <br />97402. <br />The Division Director shall schedule a time and place for the informal hearing to be conducted, which shall he not more than <br />72 hours (exclusive (if weekends) of receipt of the request for hearing. At the infon 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 Noti3the date, and I w K <br />, shon above <br />f J'e <br />_ _ oil <br />(Signatur f person issuing./delivering nolice) <br />While Copy. Public Works 6 reen Copy: File Yellow Copy L Repurt Copy Pink Copy: Rceipient Gold CopC Offices Appeal notice Rev- 04,'03 <br />