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Ci nder the a utho rity of Administrative Order No. 58-03-24-F and Park rand 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 />and Open Space Rules, and/or Section of the Eugene Code, 1971 m and/or OR — . To wit, you: <br />YA - Co �jT YJF�a <br />(Description of the violation.) <br />This restriction of use is effective beginning on t I Y 1, and shall remain in effect until LYIL <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 ird'Ormal 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) M'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 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 infon hearing the Division Director will only <br />consider testimony from you, City personnel involved in the incitIcint that resulted in this Notice, and other witnesses to the <br />incident, The Division Director may exclude anyone, other than you and those prewriting testimony, from the informal 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 hown above by: <br />(SignaVr4 of person issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above, <br />(Signahire of person being issued the notice) <br />Whitc Copy Public Works c4con Copy: File Y Copy : Repo n Co py Pink Copy: RcGipicra Gil Copy 1 0 MR ccr Appeal notice Rev, M,03 <br />Nam St R fiddle <br />DOB: <br />S <br />RaCC'17X: <br />Res. Address: qty <br />Sty <br />Y <br />Res. Phone: <br />Work Phone. <br />Ci nder the a utho rity of Administrative Order No. 58-03-24-F and Park rand 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 />and Open Space Rules, and/or Section of the Eugene Code, 1971 m and/or OR — . To wit, you: <br />YA - Co �jT YJF�a <br />(Description of the violation.) <br />This restriction of use is effective beginning on t I Y 1, and shall remain in effect until LYIL <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 ird'Ormal 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) M'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 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 infon hearing the Division Director will only <br />consider testimony from you, City personnel involved in the incitIcint that resulted in this Notice, and other witnesses to the <br />incident, The Division Director may exclude anyone, other than you and those prewriting testimony, from the informal 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 hown above by: <br />(SignaVr4 of person issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above, <br />(Signahire of person being issued the notice) <br />Whitc Copy Public Works c4con Copy: File Y Copy : Repo n Co py Pink Copy: RcGipicra Gil Copy 1 0 MR ccr Appeal notice Rev, M,03 <br />