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DATE: <br />LOCATION (PARKJOPEN SPACE) <br />NOTICE OF RESTIOCTION OF USE <br />and Notice of Right to Appeal <br />TIME: <br />b�5 L�AIIlU <br />CASE #e <br />A <br />Entering in or using oil City of Eugene parks, open spaces or facilities. <br />The basis for this Notice of Restriction of Use is that on I — , - ,�L II III I , (=� k 4- � —, you violated Section of the Park <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 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 ofthis Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <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 infonnal hearing, <br />This Notice sball rernain fnefFLTt 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 />(Signature of person issuiivg-4d�el <br />I hereby ackDowledge 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 Yollow Copy: Report Copy Pink Copye Recipient Cold Cepy; Offica Appeal notice Rcv, W103 <br />Name: Last First Middle <br />DOB: <br />R,ac-c-/SoV <br />z <br />RLS. 'AVIdmqS City <br />State <br />Zip <br />Res. PherII <br />Work Phone: <br />1 <br />Entering in or using oil City of Eugene parks, open spaces or facilities. <br />The basis for this Notice of Restriction of Use is that on I — , - ,�L II III I , (=� k 4- � —, you violated Section of the Park <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 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 ofthis Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <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 infonnal hearing, <br />This Notice sball rernain fnefFLTt 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 />(Signature of person issuiivg-4d�el <br />I hereby ackDowledge 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 Yollow Copy: Report Copy Pink Copye Recipient Cold Cepy; Offica Appeal notice Rcv, W103 <br />