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NOTICE OF RESTRICTION OF USE, <br />DATE: <br />and Notice of Right to Appeal <br />TIME: 0 <br />CASE 9. <br />ILA <br />LOCATION (PARK. SPACE): <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 />Entering in or using all City of Eugene parks, open spaces or facilities. <br />I <br />The basis far this Notice of Restriction of Use is that on -- -- 0 , you violate o <br />d Sectin -1 1 —%0V6)f t Park <br />an Open Space Rules, and/or Section q _ P- of th Fu ene Code, 1971, and/or ORS -- --. To wit, you <br />u 0- �- t C <br />I - - -------- <br />(Description of the violation.) xv? <br />This restriction of use is effective beginning on q50-VA� 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-t.074 you are entitled to an informal hearing to contest this Notice. Are qarrest 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) ofreceipt of this Notice at the following address 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <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 infamial hearing. <br />This Notice shall remain in effect pending any reclucsted hearing. <br />This Notice of Exclusion was delivered to the person named at the top of this Notice at the date and t1me shown above by.- <br />V-AJ <br />(Signature of'person, issuin /delivc <br />ring 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 />Mite Copy: Public Worb Green Copy: FtIc Yellow Copy: Rcpurt CdVy rink Copy: Rmipjent Gold Copy: Officer Appeal notice Rex 04,'M <br />Name; Last First Mliddle <br />D()B - 6 <br />Rgs City <br />S Sta <br />Zip Zip <br />Res. Phone: <br />Work Phone: <br />f A �re�-�� <br />--L — <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 />Entering in or using all City of Eugene parks, open spaces or facilities. <br />I <br />The basis far this Notice of Restriction of Use is that on -- -- 0 , you violate o <br />d Sectin -1 1 —%0V6)f t Park <br />an Open Space Rules, and/or Section q _ P- of th Fu ene Code, 1971, and/or ORS -- --. To wit, you <br />u 0- �- t C <br />I - - -------- <br />(Description of the violation.) xv? <br />This restriction of use is effective beginning on q50-VA� 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-t.074 you are entitled to an informal hearing to contest this Notice. Are qarrest 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) ofreceipt of this Notice at the following address 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <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 infamial hearing. <br />This Notice shall remain in effect pending any reclucsted hearing. <br />This Notice of Exclusion was delivered to the person named at the top of this Notice at the date and t1me shown above by.- <br />V-AJ <br />(Signature of'person, issuin /delivc <br />ring 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 />Mite Copy: Public Worb Green Copy: FtIc Yellow Copy: Rcpurt CdVy rink Copy: Rmipjent Gold Copy: Officer Appeal notice Rex 04,'M <br />