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Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005(3 you are hereby <br />notified that you are prohibited from (check box): <br />—1)5k Entering in or using all City of Eugene parks, open spaces or facilities. <br />X <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall remain in effect until 'I ]k <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 your are entitled to an inforrnal hearing to Contest this Notice. A request for an <br />info al 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., Lugene, 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 testier' frorn 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 Fxclusion 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 />- - ---- - ------ <br />(Si at - ol ergon ing issu d the notice) <br />9 er 9 <br />White Copy: Puldic Works Greet) Copr Hk, YrMt)w Copy: Hxpoyl (_'upy Pink Copy, Recipient Go ld Coliv: Officer A ppea I native Rev- r4io3 <br />Name� Last First Middle <br />DOK <br />Kace/se <br />7 , 0 <br />tL/ <br />Res. Address City Stag <br />Tap <br />Res, Phone: <br />Work Phone: <br />----------- --- <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005(3 you are hereby <br />notified that you are prohibited from (check box): <br />—1)5k Entering in or using all City of Eugene parks, open spaces or facilities. <br />X <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall remain in effect until 'I ]k <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 your are entitled to an inforrnal hearing to Contest this Notice. A request for an <br />info al 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., Lugene, 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 testier' frorn 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 Fxclusion 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 />- - ---- - ------ <br />(Si at - ol ergon ing issu d the notice) <br />9 er 9 <br />White Copy: Puldic Works Greet) Copr Hk, YrMt)w Copy: Hxpoyl (_'upy Pink Copy, Recipient Go ld Coliv: Officer A ppea I native Rev- r4io3 <br />