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U nder the autho rity of Administrative Order No. 58-03-24-F and Pa rk and Open Space Rule R- 1.005( '), you are hereby <br />notified that you are prohibited from (check box): <br />V Entering in or using all City of Eugene parks, open %paces or facilities. <br />M <br />The basis for this Notice of Restriction of Use is that on —5-Aap-q-1 you violated Section -L01 .f the Park <br />and Open Space Rules, and/or Section. ,__ of the Eugene Code, 1971, and/or ORS To wit, you <br />�,Jcpx ' rAj 0, <br />0 - DPCAl ft) (- P< IP <br />2f—hi= <br />p ft-a K <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall remain in effect until 0Da)Yej—. <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 - 1.0174 you are entitled to an inforinal 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 for the info al 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 tesfirnony 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 />'his Notice shall 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 />- - ----------- - <br />(Signature ot'pcTsun issuing/dekvering notice) <br />I hereby acknowledge receipt of the above Notice on the date and tin indicated a <br />of person being ISSLIed the noticc <br />White Copy: Pubhe Worh Green Copy! File YLflow C1,PY Rxpoyt Copy Pink Copv Recipient Gold Copy: Offim Appeal nude e Rev, 044 03 <br />Name: Last <br />First <br />Wldle <br />DOB: <br />Race/Sex: <br />69 Y7 <br />Res. Addrtfss: <br />City <br />State <br />Res. Phone: <br />Work Phone.� <br />S 17 t A rv"- <br />A V S <br />60C Qfr <br />C i 9 r i C <br />U nder the autho rity of Administrative Order No. 58-03-24-F and Pa rk and Open Space Rule R- 1.005( '), you are hereby <br />notified that you are prohibited from (check box): <br />V Entering in or using all City of Eugene parks, open %paces or facilities. <br />M <br />The basis for this Notice of Restriction of Use is that on —5-Aap-q-1 you violated Section -L01 .f the Park <br />and Open Space Rules, and/or Section. ,__ of the Eugene Code, 1971, and/or ORS To wit, you <br />�,Jcpx ' rAj 0, <br />0 - DPCAl ft) (- P< IP <br />2f—hi= <br />p ft-a K <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall remain in effect until 0Da)Yej—. <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 - 1.0174 you are entitled to an inforinal 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 for the info al 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 tesfirnony 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 />'his Notice shall 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 />- - ----------- - <br />(Signature ot'pcTsun issuing/dekvering notice) <br />I hereby acknowledge receipt of the above Notice on the date and tin indicated a <br />of person being ISSLIed the noticc <br />White Copy: Pubhe Worh Green Copy! File YLflow C1,PY Rxpoyt Copy Pink Copv Recipient Gold Copy: Offim Appeal nude e Rev, 044 03 <br />