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 />Entering in or using all City of Eugene parks, (open spaces or facilities. <br />The basis for this Notice cif` Restriction of Use is that on —W-YtL-1 you violated Section t the Park <br />and Open Space Rules, and/or Section of the Eugene Code, 1971, and/or ORS . To wit, you <br />(Description of the violation.) <br />This restriction of use is effective beginning on -69 k 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 thi Notice, you may be <br />arrested and charged with criminal trespass in the second degree. <br />Pursuant to Park and Open Space Ru le R-1, t7 you are entitled to an infer al hearing to contest this Notice. A request for an <br />info al 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 orthis 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 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 frorn 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 arty requested hearing. <br />This Notice of Exclusion was delivered to the person named at the top of this Notice at the date and time qhown above, by: <br />I hereby acknowledge receipt of the above Notice on the date and ifine indic <br />Mau, CL,py Pufiljw Wutll, Gnxn Copy_ F& Y u How C upy. . Rqmt Copy Pink Copy: Recipient e5o kl Copv, Officer Appeal notice Rev, 04 03 <br />— ----------- — - - ---- <br />( �ignature of person issuing/delivering notice) <br />Naiiw: Last First Middle <br />t)OB <br />R acs .'Six <br />z <br />K- mfyLn� jy\ft/(7 <br />/C; <br />F <br />Res, Address• Ci <br />State <br />Zip <br />Res. on <br />- AV tack Phonc <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 />Entering in or using all City of Eugene parks, (open spaces or facilities. <br />The basis for this Notice cif` Restriction of Use is that on —W-YtL-1 you violated Section t the Park <br />and Open Space Rules, and/or Section of the Eugene Code, 1971, and/or ORS . To wit, you <br />(Description of the violation.) <br />This restriction of use is effective beginning on -69 k 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 thi Notice, you may be <br />arrested and charged with criminal trespass in the second degree. <br />Pursuant to Park and Open Space Ru le R-1, t7 you are entitled to an infer al hearing to contest this Notice. A request for an <br />info al 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 orthis 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 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 frorn 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 arty requested hearing. <br />This Notice of Exclusion was delivered to the person named at the top of this Notice at the date and time qhown above, by: <br />I hereby acknowledge receipt of the above Notice on the date and ifine indic <br />Mau, CL,py Pufiljw Wutll, Gnxn Copy_ F& Y u How C upy. . Rqmt Copy Pink Copy: Recipient e5o kl Copv, Officer Appeal notice Rev, 04 03 <br />— ----------- — - - ---- <br />( �ignature of person issuing/delivering notice) <br />