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NOTICE OF RESTRICTION OF USE 5�s
<br />and Notice of Right to Appeal
<br />DATE 05 TIME: I
<br />LOCATION (PARK/OPENSPACE): L-J , PAII
<br />CASE #: V�_
<br />I ll 1 , 11 lilli I , jijj� � Ill 11111,11 111 1111
<br />Entering in or using all City of Eugene parks, open spaces or facilities.
<br />The basis for this Notice of Restriction of Use is that on 04b(olIT you violated Section] 1 00 cif the Park
<br />and Open Space Rules, andlor Section of the Eugene Code, 1971, and/or ORS _, To wit, you
<br />(Description of the violation.)
<br />This restriction of use is effective beginning on and shall remain in effect until U G-06 I -S
<br />...... . . . . ,
<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) 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'.ioiv,,sjex_dtsive�xf weekends) of recei of the re for hearinN. At the informal hearinN, the Division Director will o"I -
<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 infori hearing,
<br />This Notice shall remain in effect pending any requested hearing.
<br />e-, i
<br />(Signature of person issuing/delivering notice)
<br />White Copy,' Public Works Ggeon copy File Y elk )w Copy: Repurt Copy Pink Copy: Recipient Gold Copy: Offi cer Appealf notice Rev. 04 03
<br />Name: Last First Middle
<br />DOB!
<br />Race/Sex:
<br />. ..........
<br />Res. Address: citV
<br />State
<br />F Zip
<br />Res. Phone:
<br />Work Phone-
<br />—
<br />I ll 1 , 11 lilli I , jijj� � Ill 11111,11 111 1111
<br />Entering in or using all City of Eugene parks, open spaces or facilities.
<br />The basis for this Notice of Restriction of Use is that on 04b(olIT you violated Section] 1 00 cif the Park
<br />and Open Space Rules, andlor Section of the Eugene Code, 1971, and/or ORS _, To wit, you
<br />(Description of the violation.)
<br />This restriction of use is effective beginning on and shall remain in effect until U G-06 I -S
<br />...... . . . . ,
<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) 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'.ioiv,,sjex_dtsive�xf weekends) of recei of the re for hearinN. At the informal hearinN, the Division Director will o"I -
<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 infori hearing,
<br />This Notice shall remain in effect pending any requested hearing.
<br />e-, i
<br />(Signature of person issuing/delivering notice)
<br />White Copy,' Public Works Ggeon copy File Y elk )w Copy: Repurt Copy Pink Copy: Recipient Gold Copy: Offi cer Appealf notice Rev. 04 03
<br />
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