Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005(3), you are here <br />notified that you are prohibited from (check box): <br />0 1�D Entering in or using all City of Eugene parks, open spaces or facilities. <br />The basis for this Notice of Restriction of Use is that on 6CF—)(k°4 , you violated Section — ------------ --- o the Park. <br />and Open Space Rules, and/or Section �, O�C� I f the Eugene Code, 1971, and/or OR — To wit, you.— <br />6L-Stgu �, -X'I S 0 <br />0 C L <br />' <br />(Description of the violation.) - cV'9 V` <br />This restriction of use is effective beginning onOU)CYA, 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 R-1.074 you are entitled to an inforriial hearing to contest this Nonce. 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 49 hour% (exclusive ol " weekends) of - 'receipt ofthis Notice at the ft address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Director shall schedule a time and place for the infix al hearing to be conducted, which shall be not more than <br />72 hours (exclusive of "weekends) ofreccipt ofthe request for hearing. At the informal hearing the Division Director will only <br />consider testimony frorn you, City personnel involved in The incident that resulted in this Notice, and other witnesws to the <br />incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the in Ica al hearing. <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of Fxclusion was delivered to the person named at the top of this Notice at the date and time shown above by: <br />------------ <br />(Signature of person issuingi delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />---1-------",,------ 6 <br />- -- - - --------------- - <br />(Signature of pet so�, tieing issued the notice) <br />Whae Copy Public WorkM Green Copw Fik Ydiow Copy° Repart Copy Pink Copy Recipient Gold Copy! Officcx)kppcal notice Rq-- 04!G3 <br />Natue: Last First Middle <br />DOB� <br />c <br />, . 1, <br />Rae <br />6 e- <br />I <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 here <br />notified that you are prohibited from (check box): <br />0 1�D Entering in or using all City of Eugene parks, open spaces or facilities. <br />The basis for this Notice of Restriction of Use is that on 6CF—)(k°4 , you violated Section — ------------ --- o the Park. <br />and Open Space Rules, and/or Section �, O�C� I f the Eugene Code, 1971, and/or OR — To wit, you.— <br />6L-Stgu �, -X'I S 0 <br />0 C L <br />' <br />(Description of the violation.) - cV'9 V` <br />This restriction of use is effective beginning onOU)CYA, 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 R-1.074 you are entitled to an inforriial hearing to contest this Nonce. 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 49 hour% (exclusive ol " weekends) of - 'receipt ofthis Notice at the ft address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Director shall schedule a time and place for the infix al hearing to be conducted, which shall be not more than <br />72 hours (exclusive of "weekends) ofreccipt ofthe request for hearing. At the informal hearing the Division Director will only <br />consider testimony frorn you, City personnel involved in The incident that resulted in this Notice, and other witnesws to the <br />incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the in Ica al hearing. <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of Fxclusion was delivered to the person named at the top of this Notice at the date and time shown above by: <br />------------ <br />(Signature of person issuingi delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />---1-------",,------ 6 <br />- -- - - --------------- - <br />(Signature of pet so�, tieing issued the notice) <br />Whae Copy Public WorkM Green Copw Fik Ydiow Copy° Repart Copy Pink Copy Recipient Gold Copy! Officcx)kppcal notice Rq-- 04!G3 <br />