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and Notice of Right to A <br />LOCATI <br />tinder the authority of Administrative Order No. 58-03-24-F and Park acrd Open Space Rule R-1.005(3). you are hereby <br />notifled that you are prohibited from (check box): <br />X Entering in or using all City of Eugene parks, open spaces or facilities. <br />0 <br />The basis for this Notice of Restriction of Use is that on ---W- 3 ------------------- , you violated Section D I of t arlr <br />and Open Space Rules, and,"or SectionYJ D of the Eugene Code, 1971, and/or ORS To wit, yow— <br />AFJW'LM-P1 <br />This restriction of use is effective beginning on and shall remain in effect until P 930 <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. Arequest for :art <br />infornial hearing must be made in writing and filed with the Park-, & Open Space Division Director ( 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 informal hearing to be conducted, which shall be not more than <br />72 hours (excl usiv c ca weekends) of receipt of the request for hearing. At the informal hearing the Division Director will a nly <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 al hearing. <br />This Notice shall re ants in effect pending any requested hearing. <br />This Notice of Exclusion was delivered to the person named at the top of this N)ce at the date and sho m above by: <br />..... . . .. <br />(Signaturc of 'person isquing/delivermg51--ii C�'761 <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above, <br />6 ialt ire of person bce�kngjs�su d the noti�ce <br />Whiic Copy, Public Works firecn Copy: fik' Yellow Copy, Report Copy N n k Cory I Re6p i en L CkAd Copy; ( er Appca I nofic c Rey- 04,03 <br />a <br />NOTICE OF RESTRICTION OF USE <br />Name. LaM 1 le <br />A R� <br />IM <br />Cie. ddress City <br />State <br />Zip <br />Res, Plicme <br />� Work Pht)ne: <br />tinder the authority of Administrative Order No. 58-03-24-F and Park acrd Open Space Rule R-1.005(3). you are hereby <br />notifled that you are prohibited from (check box): <br />X Entering in or using all City of Eugene parks, open spaces or facilities. <br />0 <br />The basis for this Notice of Restriction of Use is that on ---W- 3 ------------------- , you violated Section D I of t arlr <br />and Open Space Rules, and,"or SectionYJ D of the Eugene Code, 1971, and/or ORS To wit, yow— <br />AFJW'LM-P1 <br />This restriction of use is effective beginning on and shall remain in effect until P 930 <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. Arequest for :art <br />infornial hearing must be made in writing and filed with the Park-, & Open Space Division Director ( 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 informal hearing to be conducted, which shall be not more than <br />72 hours (excl usiv c ca weekends) of receipt of the request for hearing. At the informal hearing the Division Director will a nly <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 al hearing. <br />This Notice shall re ants in effect pending any requested hearing. <br />This Notice of Exclusion was delivered to the person named at the top of this N)ce at the date and sho m above by: <br />..... . . .. <br />(Signaturc of 'person isquing/delivermg51--ii C�'761 <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above, <br />6 ialt ire of person bce�kngjs�su d the noti�ce <br />Whiic Copy, Public Works firecn Copy: fik' Yellow Copy, Report Copy N n k Cory I Re6p i en L CkAd Copy; ( er Appca I nofic c Rey- 04,03 <br />a <br />NOTICE OF RESTRICTION OF USE <br />