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LOCATION (PARK/OPEN SPACE): 2k <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 />1111� Entering in or using all City of Eugene parks, open spaces or facilities. <br />IN <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 p - you. are entitled to an informal hearing to contest this Notice. A request for an <br />infornial hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Director") <br />within 49 hour-, (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 time and place for the infornial 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 inflonna I hearing the Dig 1 sion Director wl I I 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 />Thi s Notice ca Exe I usion was del 1 vered to the person named at the top of this N otice at the date and time shown above by: <br />t--- t <br />(Signature of person issuinglelivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />--------- — ----- <br />(Signature of'person being issued the notice) <br />White Cory Public 'Yorks Green Cupyt File ycl k, %V Copy; R upoo C upy Pink Copy, Recipient Gold Copy: Officer Appea notice PC%:- 04,03 <br />Name; Last First Middle <br />DOB: <br />1 ace/sexi <br />Z�1�4 NJ <br />kj" <br />Res. Address! City <br />State <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 />1111� Entering in or using all City of Eugene parks, open spaces or facilities. <br />IN <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 p - you. are entitled to an informal hearing to contest this Notice. A request for an <br />infornial hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Director") <br />within 49 hour-, (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 time and place for the infornial 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 inflonna I hearing the Dig 1 sion Director wl I I 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 />Thi s Notice ca Exe I usion was del 1 vered to the person named at the top of this N otice at the date and time shown above by: <br />t--- t <br />(Signature of person issuinglelivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />--------- — ----- <br />(Signature of'person being issued the notice) <br />White Cory Public 'Yorks Green Cupyt File ycl k, %V Copy; R upoo C upy Pink Copy, Recipient Gold Copy: Officer Appea notice PC%:- 04,03 <br />