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Under the authorih of Administrative Order No. 58-03-24-1F 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 hasis rot this Notice of Restriction of Use is that on you violated Section kol the Park <br />and Op en. 7 Q, of the Eugene Code, 1971, and/or ORS To wit, you: <br />p Space Rules, and/or Section A—. <br />oss. 0( <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall remain in effect until (J <br />:I <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 />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 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 it fornial hwaring to be conducted, which shall be not more than <br />72 hours (exclusive of weekends) of receipt of the request for hearing.. t the infon 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 info rma I 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 />(Signature of person �ilssin <br />I hereby ack now 1 edge receipt o the above Notice on the date and time indicated above. <br />- - ----------------- <br />(Signature (if person being issued the notice) <br />White cvpy� Public Works Gnnm Capy: File Yellow Copy Report Copy Vink Copy: Recip ent Gold Copy: 01TWer Appeal notice Rcy, (",-03 <br />Name! LxA First Middle <br />C—(3 NJ <br />DOB <br />laco,"lex" <br />J Jill <br />Res, Address: City <br />Stag <br />Zip <br />Re& Phone: <br />Work Phone: <br />Under the authorih of Administrative Order No. 58-03-24-1F 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 hasis rot this Notice of Restriction of Use is that on you violated Section kol the Park <br />and Op en. 7 Q, of the Eugene Code, 1971, and/or ORS To wit, you: <br />p Space Rules, and/or Section A—. <br />oss. 0( <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall remain in effect until (J <br />:I <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 />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 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 it fornial hwaring to be conducted, which shall be not more than <br />72 hours (exclusive of weekends) of receipt of the request for hearing.. t the infon 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 info rma I 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 />(Signature of person �ilssin <br />I hereby ack now 1 edge receipt o the above Notice on the date and time indicated above. <br />- - ----------------- <br />(Signature (if person being issued the notice) <br />White cvpy� Public Works Gnnm Capy: File Yellow Copy Report Copy Vink Copy: Recip ent Gold Copy: 01TWer Appeal notice Rcy, (",-03 <br />