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LOCATION (PARK/OPEN 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 />0 Entering in or using all City of Eugene parks, open spaces or facilities. <br />The basis for this Notice of Restriction of Use is that on m � you violated Section of the Park <br />and Open Space Rules, and/or Section of the Eugene Code, 1971, and/or ORS To merit, you; <br />(Description of the violation.) <br />This restriction of use is effective beginning on 0 5 - 1 1 2 - 1 � . and shall remain in effect until <br />i r 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 />arrcwtcd and charged with criminal trespass in the second degree. <br />Pursuant to bark and Open Space Rule ®1.074 you are entitled to an info al hearing to contest this Notice. A request for an <br />informal hearing must be made in writing and tiled with the Parks & Open Space: Division Director ("the Division Director' ") <br />Within 48 hours (exclusive of weekends) of receipt ofthis Notice at the following address: 1820 Roosevelt, Blvd, Eugene, O <br />97402, <br />The Division Director shall schedule a tune 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 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 c.- elude 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 o f p?tclusion was delivered to the person named at the trap of this 'Notice 1e date and e shown above by: <br />ignature of person issuing/delivering notice) <br />1 hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(Signature of person being issued the notice) <br />Whitt! C'opvi Public Wa &; Green Copy! File ytflow Canty:, Rcepxl Copy Pink Cvpy� Recipient Cictd Copy Offlicer Appeat notice Re 41/0-4 <br />Name! La.q First ticidle <br />DOB: <br />lM <br />14 A <br />— <br />Res Address. City <br />State <br />Zip <br />Res. Phone. <br />Fork Phone <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 />0 Entering in or using all City of Eugene parks, open spaces or facilities. <br />The basis for this Notice of Restriction of Use is that on m � you violated Section of the Park <br />and Open Space Rules, and/or Section of the Eugene Code, 1971, and/or ORS To merit, you; <br />(Description of the violation.) <br />This restriction of use is effective beginning on 0 5 - 1 1 2 - 1 � . and shall remain in effect until <br />i r 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 />arrcwtcd and charged with criminal trespass in the second degree. <br />Pursuant to bark and Open Space Rule ®1.074 you are entitled to an info al hearing to contest this Notice. A request for an <br />informal hearing must be made in writing and tiled with the Parks & Open Space: Division Director ("the Division Director' ") <br />Within 48 hours (exclusive of weekends) of receipt ofthis Notice at the following address: 1820 Roosevelt, Blvd, Eugene, O <br />97402, <br />The Division Director shall schedule a tune 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 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 c.- elude 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 o f p?tclusion was delivered to the person named at the trap of this 'Notice 1e date and e shown above by: <br />ignature of person issuing/delivering notice) <br />1 hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(Signature of person being issued the notice) <br />Whitt! C'opvi Public Wa &; Green Copy! File ytflow Canty:, Rcepxl Copy Pink Cvpy� Recipient Cictd Copy Offlicer Appeat notice Re 41/0-4 <br />