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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 from (check box): <br />'q Entering in or using all City of Eugene parks, open spaces or facilities. <br />(Description of the violation.) <br />This-reNtrictioD outiseis eMctive beginning on'67�;i�iY and shall remain in effect until �aj q <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 it -1.01 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 48 hours (exclusive of weekends) of receipt of this Notice at the following address 1,920 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) of receipt of the request for hearing. At the informal hearing the Division Director will only <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, fro rn 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 />"i n I i, ori ng not <br />(Signature son iSSUM., delivering <br />_-W . notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(Sit- <br />,nature of person being issued the notice) <br />whi cop v Public Works Grem OVyi He Yellow Copy! Rqorl Copy Piak Copy Rr5Qjpwnt Go C upy; (--) ffio:r A ppeal tiot ivc Rev, 041x03 <br />!Z: Last <br />o <br />I)OB <br />Racc <br />as ------------ <br />Res, Addres City <br />S a <br />zip <br />Req. Phone: <br />R <br />Work Phone: <br />on <br />'s C-,�J <br />k - <br />-ta?, <br />'I t , 0 <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 from (check box): <br />'q Entering in or using all City of Eugene parks, open spaces or facilities. <br />(Description of the violation.) <br />This-reNtrictioD outiseis eMctive beginning on'67�;i�iY and shall remain in effect until �aj q <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 it -1.01 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 48 hours (exclusive of weekends) of receipt of this Notice at the following address 1,920 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) of receipt of the request for hearing. At the informal hearing the Division Director will only <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, fro rn 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 />"i n I i, ori ng not <br />(Signature son iSSUM., delivering <br />_-W . notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(Sit- <br />,nature of person being issued the notice) <br />whi cop v Public Works Grem OVyi He Yellow Copy! Rqorl Copy Piak Copy Rr5Qjpwnt Go C upy; (--) ffio:r A ppeal tiot ivc Rev, 041x03 <br />