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u nder` the authority of A dm i n istrative Order No. 58-03-24-F and Park and Open Space Rule R- 1 .005( you a re 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 />The basis for this Notice of, Restriction of Usc is that on Aw you violated Section <br />and Open Space Rules, and/or Section J of the Eugene Code, 197 1, and/or ORS To wit, you:_ <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' pat gene 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 al hearing to contest this Notice, A request f."oT an <br />informal hearing must be made in writing and filed with the Parks & Open Space Divisiou Director ("the Division Director ") <br />within 48 hours (exclusive of weekends) of'recelpt ofthis 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 inure than <br />72 hours (exclusive of wcekends) 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. 'rhe 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 vas delivered to the person named at the top of this Notic. at the <br />n rin x.vn a <br />obove by° <br />Q ignature of person i, uing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated v <br />(I e. <br />a <br />-- - ----- ----- ------ ----------- - <br />-�I er on end issued the notice) <br />I.,natt re of e S <br />W ite Copy! p Wo rks GrCen Copy: F& YCI I"M Copy: Report, Copy rink Copy, P�ecipient Gold Copy Officer Appeal nefice Rvv. W03 <br />M Last First I <br />ATkAH PM L & <br />- - 7 <br />/L <br />ae" <br />pc s <br />h, <br />Res, s k I �I City <br />State <br />Zip <br />Fie <br />Work Phone <br />u nder` the authority of A dm i n istrative Order No. 58-03-24-F and Park and Open Space Rule R- 1 .005( you a re 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 />The basis for this Notice of, Restriction of Usc is that on Aw you violated Section <br />and Open Space Rules, and/or Section J of the Eugene Code, 197 1, and/or ORS To wit, you:_ <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' pat gene 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 al hearing to contest this Notice, A request f."oT an <br />informal hearing must be made in writing and filed with the Parks & Open Space Divisiou Director ("the Division Director ") <br />within 48 hours (exclusive of weekends) of'recelpt ofthis 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 inure than <br />72 hours (exclusive of wcekends) 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. 'rhe 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 vas delivered to the person named at the top of this Notic. at the <br />n rin x.vn a <br />obove by° <br />Q ignature of person i, uing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated v <br />(I e. <br />a <br />-- - ----- ----- ------ ----------- - <br />-�I er on end issued the notice) <br />I.,natt re of e S <br />W ite Copy! p Wo rks GrCen Copy: F& YCI I"M Copy: Report, Copy rink Copy, P�ecipient Gold Copy Officer Appeal nefice Rvv. W03 <br />