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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 />notifiled that you are prohibited from (check box): <br />I 1 1 111 1 <br />The <br />you violated Section ' of the Park <br />basis for this otice of N R estriction of Use is that on jjI <br />and Open Space Rules, and/or Section of the Eugene Code, 1971, and/or ORS Towit,you: <br />— <br />(Description of the violation.) <br />This restriction of use is effective beginning on <br />and shall remain in effect until <br />f I you enter in or use a ny City of Eugene park, open space or facility d uring the effective period of this N otice, you may be <br />arrested and charged with criminal trespass in the second degree. <br />PLIFSLIant to Park and Open Space Rule R-I .074 you are entitled to an informal 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 weekentig) of'reeeipt ofthis 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 <br />the Division Director will only <br />consider testu 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 Noti of Exclusion was delivered to the person named at the top of this N otice at the date and time %hown above by: <br />------------ <br />(Signature of person issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the dale and time indicatcd above. <br />(Sig2nature?lf person 'b ing assayed the n(:,ofice) <br />White Copy� Public Works Green Copy: File YON)w Copy: Report Copy Pink Copy: Rwiiicra Gold Copy: Officer Appeal notice Rev. 04,,03 <br />Na LI 1p� MWU <br />A461RII <br />A <br />DOB: <br />Racelisex <br />Res, Address: City <br />SI-te <br />Zip <br />Res� 1 <br />Wo,k 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 />notifiled that you are prohibited from (check box): <br />I 1 1 111 1 <br />The <br />you violated Section ' of the Park <br />basis for this otice of N R estriction of Use is that on jjI <br />and Open Space Rules, and/or Section of the Eugene Code, 1971, and/or ORS Towit,you: <br />— <br />(Description of the violation.) <br />This restriction of use is effective beginning on <br />and shall remain in effect until <br />f I you enter in or use a ny City of Eugene park, open space or facility d uring the effective period of this N otice, you may be <br />arrested and charged with criminal trespass in the second degree. <br />PLIFSLIant to Park and Open Space Rule R-I .074 you are entitled to an informal 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 weekentig) of'reeeipt ofthis 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 <br />the Division Director will only <br />consider testu 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 Noti of Exclusion was delivered to the person named at the top of this N otice at the date and time %hown above by: <br />------------ <br />(Signature of person issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the dale and time indicatcd above. <br />(Sig2nature?lf person 'b ing assayed the n(:,ofice) <br />White Copy� Public Works Green Copy: File YON)w Copy: Report Copy Pink Copy: Rwiiicra Gold Copy: Officer Appeal notice Rev. 04,,03 <br />