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NOTICE OF RESTRICTION OF USE I s sv \ 5- <br />4 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 you violated Section t - of the Park <br />and Open Space R les, and/or Section of the Eugene Code, 1971, and/or ORS -. To wit, you: <br />A, <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall remain in effect until (Z , <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 />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other w!itnesses to t <br />incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the informal 1hearun <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 Notic.) at the date anddrue shown above by <br />issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />While Copy: Public Works Green Copy: He Yellow Copy! Report Copy Pink Copy: Recipient Gold Copy: Officer Appeal notice Rev. (1^8:'(93 <br />Name: Last <br />DOB: <br />Racee ' Sell( I <br />R es. Address: City <br />State <br />: St i tt <br />!St <br />Zip <br />Res, Phone: <br />Work 'hofi : <br />4 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 you violated Section t - of the Park <br />and Open Space R les, and/or Section of the Eugene Code, 1971, and/or ORS -. To wit, you: <br />A, <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall remain in effect until (Z , <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 />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other w!itnesses to t <br />incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the informal 1hearun <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 Notic.) at the date anddrue shown above by <br />issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />While Copy: Public Works Green Copy: He Yellow Copy! Report Copy Pink Copy: Recipient Gold Copy: Officer Appeal notice Rev. (1^8:'(93 <br />