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NOTICE OF RESTRICTION OF USE
<br />and Notice of Right to Appeal
<br />DATE: 07 6 - Iq — — ----------- TIME: CASE
<br />LOCATION (t'ARKWEN SPACE):
<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 />Entering in or using all City of Eugene parks, open spaces or facilities.
<br />El
<br />and Open Space Rules, and/or Section L4- of the Eugene Code, 1971. and/or ORS To wit, you:
<br />De
<br />(Dewription 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 Mule 1t - you are entitled to an informal hearing to contest this N otice. 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 cif his 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) ofreecipt ofthe MlUest for hearing. At the informal hearing the Division Director will only
<br />consider testimony from you, City personnel involved in the incident that requited 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 />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 />(Si giiattireofper, issuing /de,live,riin, t d) e
<br />9 11 -) I -�
<br />I hereby acknowledge receipt of the above Notice on the date and time indicated above,
<br />(Signature of person being issued the notice)
<br />whitc cupy: Publiv Wkgk"" Green C%a y: Fale Yellow Copy, Report Copy Pink Copy, Recipient C"A d Copy 0 ffiver A ppeal nul ice Ries % 4103
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<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 />Entering in or using all City of Eugene parks, open spaces or facilities.
<br />El
<br />and Open Space Rules, and/or Section L4- of the Eugene Code, 1971. and/or ORS To wit, you:
<br />De
<br />(Dewription 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 Mule 1t - you are entitled to an informal hearing to contest this N otice. 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 cif his 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) ofreecipt ofthe MlUest for hearing. At the informal hearing the Division Director will only
<br />consider testimony from you, City personnel involved in the incident that requited 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 />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 />(Si giiattireofper, issuing /de,live,riin, t d) e
<br />9 11 -) I -�
<br />I hereby acknowledge receipt of the above Notice on the date and time indicated above,
<br />(Signature of person being issued the notice)
<br />whitc cupy: Publiv Wkgk"" Green C%a y: Fale Yellow Copy, Report Copy Pink Copy, Recipient C"A d Copy 0 ffiver A ppeal nul ice Ries % 4103
<br />
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