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LOCATION (,PARK/OPEN SPACE): <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005( you are here <br />notified that you are prohibited from (check box): I <br />III IIIIII 1 III 111�1111 i I <br />W , <br />The basis for this Notice of Restriction of Use is that on <br />1 <br />61 <br />you viol.ated Section 9 )_ Ic of the Park <br />and Open Space Rules, andJor Section 0 he Eugene Code, 1971, andJor ORS _. To wit, you: <br />69QA P <br />(Description of the violation.) <br />This restriction of use is effective beginning on 4 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 info at hearing to contest this Notice. A request for are <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., En gene, OR <br />97402. <br />The Division Director -,hall schedule a time and place for the info al 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 teqtiniony 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 PrCSCDting testimony, from the informal heuril)g. <br />This Notice shall remain in eff ect pending any requested hearing. <br />This Notice of Exclusion was delivered to the person named at the top of this Notice at rc date and time shown above by <br />t4jo - <br />(Signature ol'tierson issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(Signature o )�erson being issued the notice) <br />While Copy: Public Works Green Copy: File Yellow Cepy: Repori Copy Pink Copy: REcipIIcnr Gi A j cony: 0 Me Cr Appea 1 11 Oti cc Ru%_ 04,'03 <br />Namc� Last First M iddle <br />�N <br />DO 11 <br />Race/sex <br />f4 <br />Res. Address: <br />........... <br />I I INJT' c i l y____ .............. <br />State <br />1- <br />Zip <br />i <br />R�­ P1 <br />III - <br />Phoney <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005( you are here <br />notified that you are prohibited from (check box): I <br />III IIIIII 1 III 111�1111 i I <br />W , <br />The basis for this Notice of Restriction of Use is that on <br />1 <br />61 <br />you viol.ated Section 9 )_ Ic of the Park <br />and Open Space Rules, andJor Section 0 he Eugene Code, 1971, andJor ORS _. To wit, you: <br />69QA P <br />(Description of the violation.) <br />This restriction of use is effective beginning on 4 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 info at hearing to contest this Notice. A request for are <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., En gene, OR <br />97402. <br />The Division Director -,hall schedule a time and place for the info al 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 teqtiniony 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 PrCSCDting testimony, from the informal heuril)g. <br />This Notice shall remain in eff ect pending any requested hearing. <br />This Notice of Exclusion was delivered to the person named at the top of this Notice at rc date and time shown above by <br />t4jo - <br />(Signature ol'tierson issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(Signature o )�erson being issued the notice) <br />While Copy: Public Works Green Copy: File Yellow Cepy: Repori Copy Pink Copy: REcipIIcnr Gi A j cony: 0 Me Cr Appea 1 11 Oti cc Ru%_ 04,'03 <br />