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LOCATION (PARKIOPEN SPACE) : . - - -- I—MTZVESJ <br />I � 111 11 1 1 111111111111111111 1111111111111111 !!!!!!!1 NO I <br />1 11 1111 i I I i I I , I i I I i I' i I I i I I i I I E I 1 1 1 i I Iiiiiiiii I I I I ill ill 111 l !I 1 11 1 <br />■ 11 11 , 111 lifflill llill!llllilll!ll !ill Ill I <br />a <br />The basis for this Notice of Restriction of Use is that on you violated Section IV19 of the Park <br />and Open Space Rules, arl Section of the Eugene Code, 1971, andlor ORS —. To wit, vou� <br />N <br />(Description of the violation.) <br />This restriction of use is effective beginning on 011 and shall remain in effect until <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 art <br />info al 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"l, of receist of the re for hearine.. At the informal hearins the Divigion Director will oulp <br />consider testimony from you, City personnel involved in the incident that resulted in this N rice, 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 />- 7 <br />! <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 Yellow Copy Report Copy Pink Copy: Recipient Gold Copy: Officer Appeal notice Rev. 04103 <br />Name: Last First Middle <br />De,: <br />Race/sex: <br />Y <br />e <br />Res. Address: City <br />State <br />Zip <br />Res. Phone: <br />Work Phones. <br />I � 111 11 1 1 111111111111111111 1111111111111111 !!!!!!!1 NO I <br />1 11 1111 i I I i I I , I i I I i I' i I I i I I i I I E I 1 1 1 i I Iiiiiiiii I I I I ill ill 111 l !I 1 11 1 <br />■ 11 11 , 111 lifflill llill!llllilll!ll !ill Ill I <br />a <br />The basis for this Notice of Restriction of Use is that on you violated Section IV19 of the Park <br />and Open Space Rules, arl Section of the Eugene Code, 1971, andlor ORS —. To wit, vou� <br />N <br />(Description of the violation.) <br />This restriction of use is effective beginning on 011 and shall remain in effect until <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 art <br />info al 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"l, of receist of the re for hearine.. At the informal hearins the Divigion Director will oulp <br />consider testimony from you, City personnel involved in the incident that resulted in this N rice, 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 />- 7 <br />! <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 Yellow Copy Report Copy Pink Copy: Recipient Gold Copy: Officer Appeal notice Rev. 04103 <br />