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NOTICE OF RESTRICTION OF USE <br />DATE: <br />and Notice of Right to Appeal <br />riME� 1 �3 CASE #: <br />r <br />LOCATION (PARK/OPEN SPACE): <br />A <br />bl;c 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 C-D p you violated Section the Park <br />and Open Space Rules, and/or Section of the Eugene Code, 1971, and/or OR —. To wit, you: <br />0 �05AJ� <br />A� <br />(Description of the violation.) <br />This restriction of use is effective beginning onQ5 and shall remain in effect until OG S I— \ \ L -- - ) <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 info al 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 hearing. At the informal 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 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 Copy; File YO!uw Copy Report Copy Pink Copy Recipient Gold Copy: Officer Appeal notice Rear- (4,03 <br />Name: _•i't M Fi tfiddle, <br />DOB <br />Race/Sex: <br />Res. Address: City <br />Stake <br />Zip <br />Res. Phone: <br />Work Phone: <br />bl;c 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 C-D p you violated Section the Park <br />and Open Space Rules, and/or Section of the Eugene Code, 1971, and/or OR —. To wit, you: <br />0 �05AJ� <br />A� <br />(Description of the violation.) <br />This restriction of use is effective beginning onQ5 and shall remain in effect until OG S I— \ \ L -- - ) <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 info al 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 hearing. At the informal 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 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 Copy; File YO!uw Copy Report Copy Pink Copy Recipient Gold Copy: Officer Appeal notice Rear- (4,03 <br />