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NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />DATE. TIME: CASE #: <br />LOCATION (PARIC/OPEN SPACE): ( )J 'I 5 <br />a` r i iii i i il 11 i I'Iiii 111111VII 111111111111111111 1 i I <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />The basis for this Notice of Restriction of Use is that you violated Section 1, 0 �f the Park <br />and Open Space Rules, and/or Section of the Eugene Code, 197 1, and/or ORS -. To wit, you: <br />or <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall remain in effect until <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 />ithin 48 hmir, (exclusive of weekendsl of receint nf this Notice at the following address 1820 Roosevelt.. Blvd.. Euvene, 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 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 />1 1- k c 5 <br />(Signature of person issuing /delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above, <br />M <br />Narne:j-ast First Middle <br />DOB: <br />Race./Scx; <br />ices. address: city <br />State <br />Zip <br />Res. Phone: <br />Work Phone: <br />a` r i iii i i il 11 i I'Iiii 111111VII 111111111111111111 1 i I <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />The basis for this Notice of Restriction of Use is that you violated Section 1, 0 �f the Park <br />and Open Space Rules, and/or Section of the Eugene Code, 197 1, and/or ORS -. To wit, you: <br />or <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall remain in effect until <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 />ithin 48 hmir, (exclusive of weekendsl of receint nf this Notice at the following address 1820 Roosevelt.. Blvd.. Euvene, 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 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 />1 1- k c 5 <br />(Signature of person issuing /delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above, <br />M <br />