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ti nder the authority o Administrative O rder No. 58-03-24-F and Park and Open Space Rnle R- 1.005(3), you are hereby
<br />notified that you are prohibited from (check box):
<br />-Y, Entering in or using all City of Eugene parks, open spaces or racilities.
<br />F1
<br />The basis for this Notice of Restriction of Use is that on
<br />All ------------ ---, you violated Section 4,�q of the Park
<br />and Open Space Rules, and/or Section o the Eugene Co& 197 1, and/or ORS To wit, you:_
<br />- ------------- - - - -
<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 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-1.074 you are entitled to an informal hearing to contest this Notice. A request for an
<br />informal hearing must be niade in writing and filed with the Parks, &- Open Space Division Director ("the Division Director')
<br />within 48 hours (exclusive, of weekends) of receipt orthis Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR
<br />97402.
<br />The Division Director shall schedule a three and place for the infornial hearing to be conducted, which shall be not niore 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 front you, City perqonnel involved in the incident that resulted in this Notice, and other witnesses to the
<br />incident. The Di vis io can Director may exclude anyone, other than you and those presenting testimony, faro it 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 time shown above by:
<br />(Signature of per%on issuing/delivering 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 />White Copy; Public Workq Green Copy- He Yellow Copy Ruowt Copy Pink Copy, K"ipicnt Gotd Copy: Officer Appeal notice Rev- 04r M
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<br />ti nder the authority o Administrative O rder No. 58-03-24-F and Park and Open Space Rnle R- 1.005(3), you are hereby
<br />notified that you are prohibited from (check box):
<br />-Y, Entering in or using all City of Eugene parks, open spaces or racilities.
<br />F1
<br />The basis for this Notice of Restriction of Use is that on
<br />All ------------ ---, you violated Section 4,�q of the Park
<br />and Open Space Rules, and/or Section o the Eugene Co& 197 1, and/or ORS To wit, you:_
<br />- ------------- - - - -
<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 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-1.074 you are entitled to an informal hearing to contest this Notice. A request for an
<br />informal hearing must be niade in writing and filed with the Parks, &- Open Space Division Director ("the Division Director')
<br />within 48 hours (exclusive, of weekends) of receipt orthis Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR
<br />97402.
<br />The Division Director shall schedule a three and place for the infornial hearing to be conducted, which shall be not niore 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 front you, City perqonnel involved in the incident that resulted in this Notice, and other witnesses to the
<br />incident. The Di vis io can Director may exclude anyone, other than you and those presenting testimony, faro it 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 time shown above by:
<br />(Signature of per%on issuing/delivering 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 />White Copy; Public Workq Green Copy- He Yellow Copy Ruowt Copy Pink Copy, K"ipicnt Gotd Copy: Officer Appeal notice Rev- 04r M
<br />
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