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NO TICE F RESTRICTION OF U <br />and Notice of Right to Appeal <br />D T Ills . - ` CASE e <br />7 <br />LOCATION (PARK/Op N Sp C '); <br />(I)escript>on of the violation.) <br />r <br />This restriction of use is effective beginning o and shall remain in effect anti <br />- x <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 />(Signature of person issuingfdetiVerin n ice) <br />n <br />(_Sign ure of person being iss ed the notice) <br />White Copy: Public Works Green Copy: File Yellow, Copy- Report Copy Pink Copy: Recipient Cold Copy Officer Appeal notice Rev. 04/03 <br />Marne: Last � , , N first Middle <br />DOB <br />Iles. Address: city <br />State <br />Zip <br />Ides. bone: <br />Work Plione: <br />(I)escript>on of the violation.) <br />r <br />This restriction of use is effective beginning o and shall remain in effect anti <br />- x <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 />(Signature of person issuingfdetiVerin n ice) <br />n <br />(_Sign ure of person being iss ed the notice) <br />White Copy: Public Works Green Copy: File Yellow, Copy- Report Copy Pink Copy: Recipient Cold Copy Officer Appeal notice Rev. 04/03 <br />