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NO TICE OF ES'T'.... ICTI N OFUSE � k b �� <br />and Notice of Right to appeal <br />DATE: TIME CASE <br />LOCATION (PARKJOPEN SPACE): <br />P Entering in or using all City of Eugene parks pefaciliti <br />0 <br />The basis for this Notice of Restriction of Use is that on � > you violated Section <br />and Open ace <br />c 5 " <br />, and/or Section q of the Eugene Code, 1971, and /or CTS <br />To wit, you: <br />This restriction of use is effective beginning on . 6 1 and shah retain in effect unti t <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 />a. FM <br />gene' <br />within 48 hours (exclusive of weekends) of #" 8 R ooseve lt, #x <br />A <br />Th irector shall schedule a time and place tbr the informal hearing tu=1 conducted, which shall be not more th <br />72 hours (exclusive of weekends) of receipt of the request for hearing. At the informal hearing the Division Director will A <br />consider testim <br />inci <br />This Notice shall remain in effect pending any requested hearing. 11 <br />This Notice of Exclusion was delivered to the person named at the top of this Notice at th date and tune shown above by: <br />- - - V6 -'- <br />(Signature o rson issuing /delivering notice) <br />(Signature of person being issued the notice) <br />White Copy: Public works Green Copy: File Yellow Copy: Report Copy Pink Copy: Recipient Gold Copy. Officer Appeal notice Rej, 04,'03 <br />Isla e: Last First Middle <br />D)o • �y �? <br />Racal ex: <br />/ <br />04 <br />Res. Address: C1111 <br />Stat <br />tJ <br />i ' <br />C c (g <br />Res. Phone: <br />Work phon <br />P Entering in or using all City of Eugene parks pefaciliti <br />0 <br />The basis for this Notice of Restriction of Use is that on � > you violated Section <br />and Open ace <br />c 5 " <br />, and/or Section q of the Eugene Code, 1971, and /or CTS <br />To wit, you: <br />This restriction of use is effective beginning on . 6 1 and shah retain in effect unti t <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 />a. FM <br />gene' <br />within 48 hours (exclusive of weekends) of #" 8 R ooseve lt, #x <br />A <br />Th irector shall schedule a time and place tbr the informal hearing tu=1 conducted, which shall be not more th <br />72 hours (exclusive of weekends) of receipt of the request for hearing. At the informal hearing the Division Director will A <br />consider testim <br />inci <br />This Notice shall remain in effect pending any requested hearing. 11 <br />This Notice of Exclusion was delivered to the person named at the top of this Notice at th date and tune shown above by: <br />- - - V6 -'- <br />(Signature o rson issuing /delivering notice) <br />(Signature of person being issued the notice) <br />White Copy: Public works Green Copy: File Yellow Copy: Report Copy Pink Copy: Recipient Gold Copy. Officer Appeal notice Rej, 04,'03 <br />