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Under the authority of Administrative Order f1o. M-03-24-F an&Vark an PeRLPaC, Ile— ere y <br />notifled that you are prohibited from (clieck box): <br />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 eft you violated Section JL. 0" of the Park <br />and Open Space Rules, and/or Section q. 10'7 of the Eugene Code, 1971, anct/or ORS — . To wit, you:_ <br />19 IS LA PA4K 9-agvucrL-�q <br />0AS tSSaEA, <br />(Description of the violation.) <br />This restriction of use is effective beginning on 40 " 21:--, 1 and shall remain in effect until ivl—V;�Za <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 S pace rule R- M74 you are entitled to an info al 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 Directoe) <br />within a hours (exe I usi ve of weeken of receipt of this N otice at the 1 ]owing 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 (exclusive of weekends) of receipt of the request for hearing, At the inforinal hearing the Division Director wil I 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, from the in Formal 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 N date and time shown above by: <br />3 fr <br />9 . <br />ature of person iss notice) <br />Name: Last First Middle <br />DOB <br />Racc-'Sex. <br />CAW(M <br />[ m <br />Oslo I I' <br />I <br />Res- Address City <br />State <br />din <br />Res. Phone: <br />Wo& Phone: <br />Under the authority of Administrative Order f1o. M-03-24-F an&Vark an PeRLPaC, Ile— ere y <br />notifled that you are prohibited from (clieck box): <br />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 eft you violated Section JL. 0" of the Park <br />and Open Space Rules, and/or Section q. 10'7 of the Eugene Code, 1971, anct/or ORS — . To wit, you:_ <br />19 IS LA PA4K 9-agvucrL-�q <br />0AS tSSaEA, <br />(Description of the violation.) <br />This restriction of use is effective beginning on 40 " 21:--, 1 and shall remain in effect until ivl—V;�Za <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 S pace rule R- M74 you are entitled to an info al 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 Directoe) <br />within a hours (exe I usi ve of weeken of receipt of this N otice at the 1 ]owing 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 (exclusive of weekends) of receipt of the request for hearing, At the inforinal hearing the Division Director wil I 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, from the in Formal 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 N date and time shown above by: <br />3 fr <br />9 . <br />ature of person iss notice) <br />