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LOCATION (PAR /OPEN SP E): -41 A <br />�UA �__ <br />The basis for this Notice of Restriction of Use is that on C4 9// C you violated Section /- G;Q of the Park <br />)2_ e <br />and Open Space Rules, and/or Section of the Eugene Code, 1971, and/or ORS To wit, you <br />c1 ric, .,.� <br />(Description of the violation.) <br />'This restriction of use is effective beginning on 4 �fl and shall remain in effect until _02L6kS: <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 You are entitled to an informal 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 hours (exclusive of weekends) ofreceipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />974f12® <br />1-' nouls kCXCLUs1VC 01 wt:CNR:�Iluo) U1 MI-CIPLU I LIM l7quMNE M1 777111176. 77 ME wivimdi nculuig um', il Will unty <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 in formal hearing. <br />This Notice shall remain in effect peading 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 shown above by: <br />2 tk 44�,q <br />(Signature of person issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and tine indicated above. <br />(Signature of person being issued the notice) <br />White Copy Public Workq Green Copy! He Yellow Copy: Report Copy Pink Copv! Recipient Gold Cupy. Officer Appeal notice Rev- W103 <br />Name: Last First Middle <br />DOB <br />Race,"S <br />L <br />Res. Address: city <br />St ate <br />The basis for this Notice of Restriction of Use is that on C4 9// C you violated Section /- G;Q of the Park <br />)2_ e <br />and Open Space Rules, and/or Section of the Eugene Code, 1971, and/or ORS To wit, you <br />c1 ric, .,.� <br />(Description of the violation.) <br />'This restriction of use is effective beginning on 4 �fl and shall remain in effect until _02L6kS: <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 You are entitled to an informal 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 hours (exclusive of weekends) ofreceipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />974f12® <br />1-' nouls kCXCLUs1VC 01 wt:CNR:�Iluo) U1 MI-CIPLU I LIM l7quMNE M1 777111176. 77 ME wivimdi nculuig um', il Will unty <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 in formal hearing. <br />This Notice shall remain in effect peading 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 shown above by: <br />2 tk 44�,q <br />(Signature of person issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and tine indicated above. <br />(Signature of person being issued the notice) <br />White Copy Public Workq Green Copy! He Yellow Copy: Report Copy Pink Copv! Recipient Gold Cupy. Officer Appeal notice Rev- W103 <br />