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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 />Fiatering in or using all City of Eugene parks, open spaces or facilities. <br />K <br />The basis for this Notice of Restriction of tise is that on o/ o ou violated Section of the Park <br />and Open Space Rules, and/or Section 0 of the Eugene Code, <br />(Description of the violation. <br />1971, and/or ORS To wit, yk)u._ <br />4�z zkn A-r- CK6�-j <br />This restriction of use is effective beginning on 060/, and shall remain in effect until 0 <br />If you enter in or use any City of Eugene park, open qpacc or i'acility during the 01'ective 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 infemial hearing to contest this Notice. X 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 ofweckcnds) of receipt ofthis Notice at the rollowing addres%: 1820 Roosevelt, Blvd, Eugene, OR <br />97402. <br />The Division Director shall schedule a time and place for the infortnal hearing to be conducted, which shall be not 111ore than <br />72 hours (exclusive of weekends) of receipt of the request for hearing. At the inf6mial 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 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 time shown above by <br />ice) <br />I hereby acknowledge receipt of the above Notice on the date and tirno indicated above, <br />(Signatffl -C of person be in is-, Lied the notice) <br />White Copy Pubhe Works Green Cnpyi Fdo Yellow ( opy! Rk port Copy PhNk Copv Re,, G"I'd Copy: Officvr Appea] notiix pev- U103 <br />Narnc: Last First Middle <br />D( <br />lzaX'sc <br />ReQ. Address: City <br />Butte <br />Zip <br />Res- Phone: <br />Work 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 />Fiatering in or using all City of Eugene parks, open spaces or facilities. <br />K <br />The basis for this Notice of Restriction of tise is that on o/ o ou violated Section of the Park <br />and Open Space Rules, and/or Section 0 of the Eugene Code, <br />(Description of the violation. <br />1971, and/or ORS To wit, yk)u._ <br />4�z zkn A-r- CK6�-j <br />This restriction of use is effective beginning on 060/, and shall remain in effect until 0 <br />If you enter in or use any City of Eugene park, open qpacc or i'acility during the 01'ective 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 infemial hearing to contest this Notice. X 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 ofweckcnds) of receipt ofthis Notice at the rollowing addres%: 1820 Roosevelt, Blvd, Eugene, OR <br />97402. <br />The Division Director shall schedule a time and place for the infortnal hearing to be conducted, which shall be not 111ore than <br />72 hours (exclusive of weekends) of receipt of the request for hearing. At the inf6mial 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 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 time shown above by <br />ice) <br />I hereby acknowledge receipt of the above Notice on the date and tirno indicated above, <br />(Signatffl -C of person be in is-, Lied the notice) <br />White Copy Pubhe Works Green Cnpyi Fdo Yellow ( opy! Rk port Copy PhNk Copv Re,, G"I'd Copy: Officvr Appea] notiix pev- U103 <br />