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NOTICE OF RESTRICTION OF USE <br />'an Notice of Right to Appeal <br />DATE: TIME: CASE #: <br />LOCATION (,PARK/OPEN SPACE): <br />INA� <br />"I'lie basis for this Notice of Restriction of Use is that on you violated Section ark <br />L — (S( 0 the P <br />–0 <br />and Open Space Rules, and Section kL of the Eugene Code, 1971, and/or ORS —. To wit, you: <br />—AiLO�Erelj QD <br />(Description of the 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 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) 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 receipt of the request for b=ing. At the informal hearing the Division Direetor will only <br />consider testimony front you, City personnel involved in the incident that resulted in this Notice, and other wilne.sqes 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 Notice at the date and time shown above by: <br />(SivnAatureo 'person issnnin gl /deii ering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />pe of per n bqeingissued the notice) <br />White Copy. Public Wktrk� Gvevm Cop File Yellow Copy: Report Copy Pink Copyl Recipient Cold Copyi Officer Appeal notice <br />Rev, 04,'03 <br />Name: Lr First Middle <br />4at (- <br />DOB: <br />( � ,: l <br />Race,Sex: <br />a� <br />- T - St9t <br />Res. Addres& City <br />Zip <br />Res. Phone: <br />Work Phone: <br />"I'lie basis for this Notice of Restriction of Use is that on you violated Section ark <br />L — (S( 0 the P <br />–0 <br />and Open Space Rules, and Section kL of the Eugene Code, 1971, and/or ORS —. To wit, you: <br />—AiLO�Erelj QD <br />(Description of the 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 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) 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 receipt of the request for b=ing. At the informal hearing the Division Direetor will only <br />consider testimony front you, City personnel involved in the incident that resulted in this Notice, and other wilne.sqes 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 Notice at the date and time shown above by: <br />(SivnAatureo 'person issnnin gl /deii ering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />pe of per n bqeingissued the notice) <br />White Copy. Public Wktrk� Gvevm Cop File Yellow Copy: Report Copy Pink Copyl Recipient Cold Copyi Officer Appeal notice <br />Rev, 04,'03 <br />