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1:: 1? 1111 � I il 11111 1 1 111111 � 11 111111 iiiiiij I <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />EJ <br />The basis for this Notice of Restriction of Use is that on L6—�10�) <br />you violated Section f the Park 1 6% <br />and Open Space Rules, and/or Section of the Eugene Code, 1971„ and/or ORS To wit, you:_ <br />r-74M, vJS 'i <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall rernain in effect until 6c <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 infinn-nal hearing to contest this Notice. Arequest foran <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 th <br />72 hours (exclusive of weekends) of receipt of the request for hearing, At the informal hearing the Division Director will on <br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to t <br />incident, The Division Director may exclude anyone, other than you and those presenting testimony, from the infort hearin <br />This Notice shall remain in effect pending any requested hearing. Ll <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 of the above Notice on the date and time indicated above. <br />(Signature of person being issued the notice) <br />White C(Ty: Public Works CjrecnCupy: File Yellow Copy: Report Copy Pink Copy: Recipient GAd Copy: Officer Appeal notice Rev. 04,'03 <br />Name: Last First Middle <br />DOB: <br />Race/Sex <br />- rA &)I 4 <br />Res. Addre�5: r— city <br />State <br />Zip <br />Res, Phone: <br />Work Phone: <br />1:: 1? 1111 � I il 11111 1 1 111111 � 11 111111 iiiiiij I <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />EJ <br />The basis for this Notice of Restriction of Use is that on L6—�10�) <br />you violated Section f the Park 1 6% <br />and Open Space Rules, and/or Section of the Eugene Code, 1971„ and/or ORS To wit, you:_ <br />r-74M, vJS 'i <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall rernain in effect until 6c <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 infinn-nal hearing to contest this Notice. Arequest foran <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 th <br />72 hours (exclusive of weekends) of receipt of the request for hearing, At the informal hearing the Division Director will on <br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to t <br />incident, The Division Director may exclude anyone, other than you and those presenting testimony, from the infort hearin <br />This Notice shall remain in effect pending any requested hearing. Ll <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 of the above Notice on the date and time indicated above. <br />(Signature of person being issued the notice) <br />White C(Ty: Public Works CjrecnCupy: File Yellow Copy: Report Copy Pink Copy: Recipient GAd Copy: Officer Appeal notice Rev. 04,'03 <br />