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NOTICE OF RESTRICTION OF USE
<br />and Notice, of Right to Appeal )w')
<br />DATF 'T'A
<br />............. . .......... . . . . . . .. ................................ . . . . . . .. .............. .. . .
<br />LOCATION (PARK/OPF'N SFPA(.'E)�:
<br />...... . ..................... . . . . . ........ . . . . ................... . .. . . . .. . . .................
<br />Under the authority
<br />y of: u
<br />drinisirative OIvo o. 58 ,,,.03-244' and Park and Spa
<br />nd Open ce Rule R-1.005(3), you are hereby
<br />notified that you are prohibited from (check boxl:
<br />Entering in or using all City
<br />, of Eugene parks, open Npaces or facilities.
<br />El
<br />The basis for this Notice Of FtLstriction of Use is that one you violated Seaicm of the Pu6,.
<br />.......... - ----- . . ....... . ............... . . . . ...... . I
<br />and Open Space Ruleq, andJor Sectio-nD--()\:of" the Eugene Code, 1971, and/ox-ORS ..... . . ....... To Wit, YIDIL. . .................... . . .
<br />.. . .. ..................... . . . . . . . ........... . . . . . . . . .................... ...... . ....
<br />(Description of" the violation,)
<br />This restriction of use is effective beginning on and shall rernain in effect until
<br />Ifyou enter in or use any City of'Eugene park, open space or facility during the effective period of this Notice, you inay be
<br />arrested and charged with criminal trespass in the second degree.
<br />Purs„dant to Park and Open Spa.ce Rule R-1.074 you are entitled to an informal hearing to contest this Notice, A, request for an
<br />informal hearing must be inade in writing and Filed with (fie I'larks & Open Space Division Director (""the Division Dirivid.oirr")
<br />within 48 hours (exclusive of weekends) ofreceipt of this Notice at the,, following address 1820 Roosevelt, Blvd., Eugene, OR
<br />97402.
<br />The Division Director shall schedulc a tirne and place for the informal hearing to be conducted, Which shall lane roast morc- than
<br />72 hours (exclusive of weekends) of receipt of the request for., hearing. At the informal hearing the Divislon Director will unly
<br />consider wsthnony fi'om You, City persormel involved in the incident that resulted in this No6ce, and other witnesses to thiC,
<br />incident. The Division Director maty excludeanyone, other than you andthose presenting testirriony, fa r,.rrrr the, inforryiA hear!ing,
<br />This Notice shall ream in in effkt pending any requested hearing.
<br />This Notice offAclusion was delivexed to the person named as the top of this Notice at the date and time shown above 1)y�
<br />(Signature of person iing/deliverkig nonce)
<br />.1 hereby acknovyledge receipt ofthe above Notice on the (late and time indicated above.
<br />(Siezrialure ofperson
<br />Mhiile Copy� Ilubfic Workrrr GReen Copy, Fik YellowN, I'A)p: RePOTF (-'cjp� Pink, Copy; RucipicrDL GiA 11 ir..f.lpy: (r. ) Mlfr reir A, P: Pfr-.o I ri ro 111 c rr.,, Rr.,.-v. iU,V03
<br />Mull last—,� 'Middle
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<br />DOIB:
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<br />Cl�) . ................ .
<br />ResAddress: city State 'ZIP
<br />Res, Phune:
<br />M)rk llb:.Ync:
<br />Under the authority
<br />y of: u
<br />drinisirative OIvo o. 58 ,,,.03-244' and Park and Spa
<br />nd Open ce Rule R-1.005(3), you are hereby
<br />notified that you are prohibited from (check boxl:
<br />Entering in or using all City
<br />, of Eugene parks, open Npaces or facilities.
<br />El
<br />The basis for this Notice Of FtLstriction of Use is that one you violated Seaicm of the Pu6,.
<br />.......... - ----- . . ....... . ............... . . . . ...... . I
<br />and Open Space Ruleq, andJor Sectio-nD--()\:of" the Eugene Code, 1971, and/ox-ORS ..... . . ....... To Wit, YIDIL. . .................... . . .
<br />.. . .. ..................... . . . . . . . ........... . . . . . . . . .................... ...... . ....
<br />(Description of" the violation,)
<br />This restriction of use is effective beginning on and shall rernain in effect until
<br />Ifyou enter in or use any City of'Eugene park, open space or facility during the effective period of this Notice, you inay be
<br />arrested and charged with criminal trespass in the second degree.
<br />Purs„dant to Park and Open Spa.ce Rule R-1.074 you are entitled to an informal hearing to contest this Notice, A, request for an
<br />informal hearing must be inade in writing and Filed with (fie I'larks & Open Space Division Director (""the Division Dirivid.oirr")
<br />within 48 hours (exclusive of weekends) ofreceipt of this Notice at the,, following address 1820 Roosevelt, Blvd., Eugene, OR
<br />97402.
<br />The Division Director shall schedulc a tirne and place for the informal hearing to be conducted, Which shall lane roast morc- than
<br />72 hours (exclusive of weekends) of receipt of the request for., hearing. At the informal hearing the Divislon Director will unly
<br />consider wsthnony fi'om You, City persormel involved in the incident that resulted in this No6ce, and other witnesses to thiC,
<br />incident. The Division Director maty excludeanyone, other than you andthose presenting testirriony, fa r,.rrrr the, inforryiA hear!ing,
<br />This Notice shall ream in in effkt pending any requested hearing.
<br />This Notice offAclusion was delivexed to the person named as the top of this Notice at the date and time shown above 1)y�
<br />(Signature of person iing/deliverkig nonce)
<br />.1 hereby acknovyledge receipt ofthe above Notice on the (late and time indicated above.
<br />(Siezrialure ofperson
<br />Mhiile Copy� Ilubfic Workrrr GReen Copy, Fik YellowN, I'A)p: RePOTF (-'cjp� Pink, Copy; RucipicrDL GiA 11 ir..f.lpy: (r. ) Mlfr reir A, P: Pfr-.o I ri ro 111 c rr.,, Rr.,.-v. iU,V03
<br />
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