LOCATION (PARKJOHN SPACE): VJ^ <br />11111 1111 OR 111 1111111 i 11? 1, 111 F 11111 ilill�ll,' 11' 1111111 Pjp� iiliiiiiiiiii <br />1 11 ]JI 1 <br />r4(- Entering in or using all City of Eugene parks, open spaces or facilities. <br />IN <br />The basis for this Notice of Restriction of Use is that on you violated Section -- of the Park <br />and Open Space Rules., andlor Section of the Eugene Code, 1471, and/or ORS --. To wit, you:_ <br />I/ <br />t5 <br />j!i It I <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 SpaceRule 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 />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 will only <br />consider testimony fro m 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 rernain 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 ol'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 />While COPY' Public Work Green Copy: File YcAo* C oVy , Report Copy Pink Copy: Recipient Old Copy: Officer Appeal notice Rev, 04,103 <br />— — - -- ----- - --- --- — -------- - <br />Name: Last Fir, t Middle <br />DOB: <br />Ra—es-x <br />Q �'� <br />Res, Address: City <br />State <br />Zip <br />Res, Phone� <br />Work Phone: <br />11111 1111 OR 111 1111111 i 11? 1, 111 F 11111 ilill�ll,' 11' 1111111 Pjp� iiliiiiiiiiii <br />1 11 ]JI 1 <br />r4(- Entering in or using all City of Eugene parks, open spaces or facilities. <br />IN <br />The basis for this Notice of Restriction of Use is that on you violated Section -- of the Park <br />and Open Space Rules., andlor Section of the Eugene Code, 1471, and/or ORS --. To wit, you:_ <br />I/ <br />t5 <br />j!i It I <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 SpaceRule 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 />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 will only <br />consider testimony fro m 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 rernain 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 ol'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 />While COPY' Public Work Green Copy: File YcAo* C oVy , Report Copy Pink Copy: Recipient Old Copy: Officer Appeal notice Rev, 04,103 <br />— — - -- ----- - --- --- — -------- - <br />