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LOCA (PARK/OPEN SPACE):
<br />I- tJ
<br />Under the authorit Y 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 rrorn (check box):
<br />Entering in or using all City of Eugene parks, open spaces or facilities.
<br />0
<br />The basis for this Notice of Restriction of Use is that on I Park Q
<br />you violated Section 0 / 0
<br />and Open Space Rules, and/or Section 0 1 1 of the E ugene Code, 1971, and/or 0 RS
<br />on of the violation,,)
<br />rwr 1 Pli pa&�(
<br />To wit, you-._
<br />This restriction of use is effective beginning oft o5-?/ / f and shall reinain in effect until L I V .
<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 S pace Rule P -1.074 you are entitled to an informal hearing to contest this Notice. A request for an
<br />imbyrnal hearing must be rnade 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 titne and place for the informal hearing to be conducted, which shall be not more than
<br />72 hours (exclu ofweekends) o receipt o the request for h caring. At the informal hearing, the D ivision D irector w iI I on ly
<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 informal hearing.
<br />This 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 tim -0 shown above by:
<br />el - *�
<br />(Signature oi'perqon issuing /rIclivering notice)
<br />I hereby acknowledge receipt tar the. above Notice on the date and time indicated above.
<br />(Signature of person being issued the notice.)
<br />Wh i Lu Cq'y : Pub] w wrec (',Tc,,n Copy; He Yellow copy; Reporr ccvy Pink Casey - Rek7 ip w n t Gold Copy-, Offlm Appeal notice Rev, 6tV03
<br />Mirne: L St FIT'sk Middle
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<br />Rea . AddrcSs:
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<br />State
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<br />Res, Phonc:
<br />Work Phone:
<br />Under the authorit Y 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 rrorn (check box):
<br />Entering in or using all City of Eugene parks, open spaces or facilities.
<br />0
<br />The basis for this Notice of Restriction of Use is that on I Park Q
<br />you violated Section 0 / 0
<br />and Open Space Rules, and/or Section 0 1 1 of the E ugene Code, 1971, and/or 0 RS
<br />on of the violation,,)
<br />rwr 1 Pli pa&�(
<br />To wit, you-._
<br />This restriction of use is effective beginning oft o5-?/ / f and shall reinain in effect until L I V .
<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 S pace Rule P -1.074 you are entitled to an informal hearing to contest this Notice. A request for an
<br />imbyrnal hearing must be rnade 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 titne and place for the informal hearing to be conducted, which shall be not more than
<br />72 hours (exclu ofweekends) o receipt o the request for h caring. At the informal hearing, the D ivision D irector w iI I on ly
<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 informal hearing.
<br />This 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 tim -0 shown above by:
<br />el - *�
<br />(Signature oi'perqon issuing /rIclivering notice)
<br />I hereby acknowledge receipt tar the. above Notice on the date and time indicated above.
<br />(Signature of person being issued the notice.)
<br />Wh i Lu Cq'y : Pub] w wrec (',Tc,,n Copy; He Yellow copy; Reporr ccvy Pink Casey - Rek7 ip w n t Gold Copy-, Offlm Appeal notice Rev, 6tV03
<br />
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