9�b � ravm NOTICE OF RESTRICTION OF USE <br />The basis for this Notice of Restriction of Use is that you violated Section 1 40the Park <br />and Open Space Rules, and/or Section q A of the Eugene Code, 1971, and/or ORS <br />1C <br />(Description of the violation.) <br />To wit, you <br />This restriction of use is effective beginning on di , and shall remain in effect until C1 , - D — <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 - 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 />I Liu I_11iV16iV11 "tl"Mil N11all L) us; t1UH I Ll� 11UL 111VIC Mail <br />72- hours (exclusive of weekends) of receipt of the request for hearing. At the informal hearing the Division Director will only <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 at the date and time shown above by: <br />, -I <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 p2on bc ing issued the notice) <br />Whrle Copy: Public Works Green Copy: File Yellow Clupy: Report Copy Pink Copy: Recipient bold Copy Of Ter Appeal nolice Rev, (14103 <br />Nanie F ­­I F' - t Middle <br />LOBS <br />Z 9 ? <br />Race/Se - <br />k4 VV\, <br />Res, Addre.s. Chy <br />2 <br />Zip <br />Res. Phc <br />Sit <br />Work P1 <br />6-M <br />o <br />The basis for this Notice of Restriction of Use is that you violated Section 1 40the Park <br />and Open Space Rules, and/or Section q A of the Eugene Code, 1971, and/or ORS <br />1C <br />(Description of the violation.) <br />To wit, you <br />This restriction of use is effective beginning on di , and shall remain in effect until C1 , - D — <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 - 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 />I Liu I_11iV16iV11 "tl"Mil N11all L) us; t1UH I Ll� 11UL 111VIC Mail <br />72- hours (exclusive of weekends) of receipt of the request for hearing. At the informal hearing the Division Director will only <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 at the date and time shown above by: <br />, -I <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 p2on bc ing issued the notice) <br />Whrle Copy: Public Works Green Copy: File Yellow Clupy: Report Copy Pink Copy: Recipient bold Copy Of Ter Appeal nolice Rev, (14103 <br />