NOTICE OF RESTRICTION OF USE <br />DATE: <br />and Notice of Right to Appeal <br />TIME: CASE <br />ME <br />and Open Space Rules, and/or $ection of the Eugene�ole,. 1 <br />0 <br />vd s� y tr 11 vyow4 7 <br />(Description of the violation.) <br />This restriction of use is effective beginning on 0 *0t 3 _, andshall remain in eMet until 65 3 . <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 bearing 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 recei9t of this Notice at the followin address:'1820 Roosevelt, Blvd.. Eum OR <br />97402. <br />1,L HUUYS kUXC1US1VC Ui WCCKVI1Ub) 01 IVUC17L ALA I LA IV, A UqUeM 401 HUM I I 1g, l'it LAM LJ AVIS Ion U117CLU017 W III UHly <br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, 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 ti the date and time shown above by: <br />M <br />person issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated <br />acknowledge <br />pe rson being issued the notice) <br />White Copy . Public Wanks Green Copy: File Yellow Copy: Report Copy Pink Copy: Recipient Gold Copy: Officer Appeil notice Rey. 04/03 <br />Name: Last First _ lklidcfle <br />DOB: <br />Racel'SexAddress. <br />,2 <br />Res. Addre City <br />iE t <br />State <br />Zip <br />I <br />R es. Phone: <br />Phone: <br />Work Pho: <br />TfAv5LI�7-&V - <br />and Open Space Rules, and/or $ection of the Eugene�ole,. 1 <br />0 <br />vd s� y tr 11 vyow4 7 <br />(Description of the violation.) <br />This restriction of use is effective beginning on 0 *0t 3 _, andshall remain in eMet until 65 3 . <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 bearing 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 recei9t of this Notice at the followin address:'1820 Roosevelt, Blvd.. Eum OR <br />97402. <br />1,L HUUYS kUXC1US1VC Ui WCCKVI1Ub) 01 IVUC17L ALA I LA IV, A UqUeM 401 HUM I I 1g, l'it LAM LJ AVIS Ion U117CLU017 W III UHly <br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, 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 ti the date and time shown above by: <br />M <br />person issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated <br />acknowledge <br />pe rson being issued the notice) <br />White Copy . Public Wanks Green Copy: File Yellow Copy: Report Copy Pink Copy: Recipient Gold Copy: Officer Appeil notice Rey. 04/03 <br />