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NOTICE OF REs OF USE <br />and Notice ol'Right to Appeal <br />DATE: o TIME: —La--� CASE 9 <br />LOCATION (PARK/OPEN SPACE): <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-16005(3), you are hereby <br />notified that you are prohibited from (check box)- <br />"*1 <br />1:3�0 Entering in or using all City of Eugene parks, open spaces or facilities. <br />F1 <br />00 N) - <br />The basis for this N Re <br />Notice of striation of Use is that on i (:D <br />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 />Pursu ant 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 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) of receipt of the request for hearing. At the informal hearing the Division Director mil only <br />consider testimony from you, ( lity 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 />(Signature of person issuing/delivering notice) <br />I hereby acknowledge receipt ofthe above Notice on the date and time indicated above. <br />(Signature of person being issued the notice) <br />Mnte Copy! Public work", GT Copy: File Yellow Copy: Report Copy Pink Copy: Recipien Gold Copy: officer Appeal notice Re% NIB <br />N 'n L awl First Middle <br />DOB : <br />Race/sex: <br />`6 <br />Res, Add <br />Zip <br />Res. Phone: <br />Work Phone: <br />. . ........ EN�N-�� <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-16005(3), you are hereby <br />notified that you are prohibited from (check box)- <br />"*1 <br />1:3�0 Entering in or using all City of Eugene parks, open spaces or facilities. <br />F1 <br />00 N) - <br />The basis for this N Re <br />Notice of striation of Use is that on i (:D <br />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 />Pursu ant 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 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) of receipt of the request for hearing. At the informal hearing the Division Director mil only <br />consider testimony from you, ( lity 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 />(Signature of person issuing/delivering notice) <br />I hereby acknowledge receipt ofthe above Notice on the date and time indicated above. <br />(Signature of person being issued the notice) <br />Mnte Copy! Public work", GT Copy: File Yellow Copy: Report Copy Pink Copy: Recipien Gold Copy: officer Appeal notice Re% NIB <br />