Under the authority of, dmi istrative Order No. 58-03-24-1? and Park and Open Space Rule R-1.005(3), you are hereby <br />notified that you are prohibited from (check box): <br />Entering in or using all City of Eugene parks, open spaces, or facilities. <br />F1 <br />The basis for this Notice of Restriction of Use is that on3/A-//Lf—, y ou violated Section the Park <br />and Open Space Rules, and/or Section 1 - - i-A R-0— of the Eugene Code, 1 971, and/or OR __ _. To wit, you: <br />(Description of the violation.) <br />This restriction of use is effective beginning on — V j q - — I and shall remain in effect until 1 - 1 )-I� /( q - <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 info gal 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 fbr the informal hearing to be conducted, which shall be not rnore than <br />72 hours (exclusive of weekends) of receipt of the request for hearing. At the infornial 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 %hall 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 />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(S c -- 6 . .... . . .. <br />St attire o p S e of person being issued the noticel <br />White Copy: Public Works Green Copy_ File Yd 1 u w Copy R port Copy Pink Copy Recipient Gold Copy: Officur Appcal dl ,6(x Rev, 04103 <br />Nanie: Last Fhs-t Middle <br />DIM: <br />R a c e /'S'e x <br />Res dress: city <br />State <br />Zip <br />RcSL Phq)ne <br />Work Phone: <br />if - 2 NJ VS <br />o 3sq slq-j <br />Under the authority of, dmi istrative Order No. 58-03-24-1? and Park and Open Space Rule R-1.005(3), you are hereby <br />notified that you are prohibited from (check box): <br />Entering in or using all City of Eugene parks, open spaces, or facilities. <br />F1 <br />The basis for this Notice of Restriction of Use is that on3/A-//Lf—, y ou violated Section the Park <br />and Open Space Rules, and/or Section 1 - - i-A R-0— of the Eugene Code, 1 971, and/or OR __ _. To wit, you: <br />(Description of the violation.) <br />This restriction of use is effective beginning on — V j q - — I and shall remain in effect until 1 - 1 )-I� /( q - <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 info gal 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 fbr the informal hearing to be conducted, which shall be not rnore than <br />72 hours (exclusive of weekends) of receipt of the request for hearing. At the infornial 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 %hall 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 />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(S c -- 6 . .... . . .. <br />St attire o p S e of person being issued the noticel <br />White Copy: Public Works Green Copy_ File Yd 1 u w Copy R port Copy Pink Copy Recipient Gold Copy: Officur Appcal dl ,6(x Rev, 04103 <br />