Under the authoritv 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 />W 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 oil you violated Scction � V " -/V f the Park <br />and Open Space Rules, and/or SectionY 96 ofthe Eugene Code, 1971, and/or ORS To wit, you:_ <br />(Description of the violation.) <br />This restriction of use is effective beginning on <br />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 Rule R- 1.074 you are entitled to an informal 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 49 hours (exclusive of week of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />(Signature apt person issrung/defivering notice) <br />I hereby acknowledge receipt of the above Notice (in the date and time indicated above, <br />(Signature of person being issued the notice) <br />'Alite cupy. Public Wolk,; GieuiCopy: File Yellow Capv; Reparl 4 opy Pink Copy; Recipiem Gold Copy� Officer Appeal notice Rev, 04-03 <br />Name Last First Middle <br />DOB: <br />Ra <br />Pes. Address: city <br />Fst% <br />ate <br />Zip <br />k Phone <br />375' 41UPJA UL&I"k-el <br />C <br />Under the authoritv 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 />W 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 oil you violated Scction � V " -/V f the Park <br />and Open Space Rules, and/or SectionY 96 ofthe Eugene Code, 1971, and/or ORS To wit, you:_ <br />(Description of the violation.) <br />This restriction of use is effective beginning on <br />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 Rule R- 1.074 you are entitled to an informal 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 49 hours (exclusive of week of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />(Signature apt person issrung/defivering notice) <br />I hereby acknowledge receipt of the above Notice (in the date and time indicated above, <br />(Signature of person being issued the notice) <br />'Alite cupy. Public Wolk,; GieuiCopy: File Yellow Capv; Reparl 4 opy Pink Copy; Recipiem Gold Copy� Officer Appeal notice Rev, 04-03 <br />