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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 front (check box): <br />0 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 cat Park <br />you violated Section <br />and Open Space Rules, and/or Section q, 2y of the Eugene Code, 1971, and/or ORS To wit, you: <br />tt PA <br />(Description of the violation.) <br />This restriction of use is effective beginning ran _2�__ / �L, and shall remain in effect until i — I / - / V . <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, A request for an <br />inCormal 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., Eugene, OR <br />97402. <br />(Signat)R ftrson issuing /dolivering notic) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />�_6 <br />- - - --------- - - - - -- ------- <br />(Signature of person being issued the notice) <br />White Copy Public WOTks Green Copy File VeNny Copy; RQpurl Copy Pink Copy; Recipient GfAd Ccppy� Officer appeal nuiivc Re%. 04,'03 <br />Narne� Last First Middle <br />DOB: <br />Race/Sex: <br />COO lik- <br />6 F 9 <br />Res, Address: <br />es, R Phone: <br />W ork Phone: <br />r I <br />. .. ................. <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 front (check box): <br />0 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 cat Park <br />you violated Section <br />and Open Space Rules, and/or Section q, 2y of the Eugene Code, 1971, and/or ORS To wit, you: <br />tt PA <br />(Description of the violation.) <br />This restriction of use is effective beginning ran _2�__ / �L, and shall remain in effect until i — I / - / V . <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, A request for an <br />inCormal 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., Eugene, OR <br />97402. <br />(Signat)R ftrson issuing /dolivering notic) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />�_6 <br />- - - --------- - - - - -- ------- <br />(Signature of person being issued the notice) <br />White Copy Public WOTks Green Copy File VeNny Copy; RQpurl Copy Pink Copy; Recipient GfAd Ccppy� Officer appeal nuiivc Re%. 04,'03 <br />