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Under the authority ol'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, apen spaces or facilities.
<br />X
<br />The basis for this Notice of Restriction of Use is that on you violated Section 1 310 9 of the Park
<br />and Open Space Rules, and/or Section AV NO - of the Eugene Code, 1971, and/or ORS . . . ..... — - ----------- - To wit, you:_jA:9,f,
<br />(Description of the violation.)
<br />This restriction of use is effective beginning on and sball 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 />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 of this Notice at the following address 1820 Roosevelt, Bhd., E"gene, OR
<br />97402.
<br />I "L; "EVE1 101 N 11 Nk:HCUU1U il ulur, wtu P I J VC LUHLEULMU, 'A[M�11 ',, , 11101
<br />72 hours (exclusive of weekends) of receipt of the reqUeSt for hearing. At the informal hearing the Division Director wi on
<br />o
<br />comider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to t
<br />incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the informal helarin
<br />This Notice shall remain in effect pending any requested hearing.
<br />This Notice of Exclusion was delivered to the person named at the to of this Notice at the date and tirne shown above by:
<br />(Signature of person issuing/delivering notice
<br />I hereby acknowledge receipt of the above Notice on the date and time indicated above.
<br />I R MW) -- ------- — ----- —
<br />(Signature o€ person being issued the notice)
<br />Whak- Copyc Public Work,e Green Copy� File Y c How Copy; Report, Copy Pink Copy; R"pcnt G ol d Copy! Officer A ppe �i I nGfice Rev - "4,4 I
<br />Name: Last F i n; t Nlid(fle
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<br />State
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<br />Rts, Phone:
<br />Work , Phone�
<br />97C Al ij C-pgrLc De V ftgy -
<br />0
<br />Under the authority ol'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, apen spaces or facilities.
<br />X
<br />The basis for this Notice of Restriction of Use is that on you violated Section 1 310 9 of the Park
<br />and Open Space Rules, and/or Section AV NO - of the Eugene Code, 1971, and/or ORS . . . ..... — - ----------- - To wit, you:_jA:9,f,
<br />(Description of the violation.)
<br />This restriction of use is effective beginning on and sball 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 />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 of this Notice at the following address 1820 Roosevelt, Bhd., E"gene, OR
<br />97402.
<br />I "L; "EVE1 101 N 11 Nk:HCUU1U il ulur, wtu P I J VC LUHLEULMU, 'A[M�11 ',, , 11101
<br />72 hours (exclusive of weekends) of receipt of the reqUeSt for hearing. At the informal hearing the Division Director wi on
<br />o
<br />comider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to t
<br />incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the informal helarin
<br />This Notice shall remain in effect pending any requested hearing.
<br />This Notice of Exclusion was delivered to the person named at the to of this Notice at the date and tirne shown above by:
<br />(Signature of person issuing/delivering notice
<br />I hereby acknowledge receipt of the above Notice on the date and time indicated above.
<br />I R MW) -- ------- — ----- —
<br />(Signature o€ person being issued the notice)
<br />Whak- Copyc Public Work,e Green Copy� File Y c How Copy; Report, Copy Pink Copy; R"pcnt G ol d Copy! Officer A ppe �i I nGfice Rev - "4,4 I
<br />
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