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LOCATION ( SPACE): <br />aoti fred that you a re proh ib ited froin (check box) <br />91- Entering in or using all City oif Eugene parks, open spaces or facilities. <br />The basis for this Notice of Restriction of Use is that on -a- W/y ----- - - ----- you violated Section 01& of the Park <br />Open Space Rules, and/or Section , ofthe Eugene Code,, 197 and/or ORS __a To wit, you: <br />I <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall rernain 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 F7 -I.074 you are entitled to an infon hearing to contest this Notice, A request uest 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., Fugene, Cl <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 of weekends ) of receipt of the request for hearing. At the informal heating the Division Director wil I only <br />consider testimony from you, C ity personnel involved in the incident that resulted in this Notice, and tither witnesses to the <br />incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the inforunal 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 NoTM the date and time shown above by: <br />M <br />(Si re ofperson issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above, <br />Name. Last <br />F t <br />M cf le <br />DOB: <br />Race"s <br />V <br />76 <br />IvMo <br />W <br />fife A d d r e s s <br />itV <br />State <br />zop <br />Res, Phone: <br />Work Phone: <br />f 3A 3 M I <br />4 <br />aoti fred that you a re proh ib ited froin (check box) <br />91- Entering in or using all City oif Eugene parks, open spaces or facilities. <br />The basis for this Notice of Restriction of Use is that on -a- W/y ----- - - ----- you violated Section 01& of the Park <br />Open Space Rules, and/or Section , ofthe Eugene Code,, 197 and/or ORS __a To wit, you: <br />I <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall rernain 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 F7 -I.074 you are entitled to an infon hearing to contest this Notice, A request uest 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., Fugene, Cl <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 of weekends ) of receipt of the request for hearing. At the informal heating the Division Director wil I only <br />consider testimony from you, C ity personnel involved in the incident that resulted in this Notice, and tither witnesses to the <br />incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the inforunal 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 NoTM the date and time shown above by: <br />M <br />(Si re ofperson issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above, <br />