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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 />notifled that you are prohibited from (check 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 you violated Section 4 .-- of the Park <br />and Open Space Rules, and/or Section -- o the Eugene Code, 1971, and/or ORS To wit, you <br />P0 'so ZT LIA �AJX <br />(Description of the violation.) <br />T i9L)y <br />h on, is restricti 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, y o u r ay 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 48 hours (exclusive of weekends) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />ing/defivering nofice) <br />I hereby acknowledge receipt of the above Notice on the date and uric indicat above. <br />issu the notice) <br />(Signature of <br />Whitr� Copy; Public Wo&r GremCepy: File Yellow Copy: Rcpoyl Copy Pink Copy: R kxipient Cold Copy: Offikxr Appeal notice Rcv, 04.10 <br />Naine: Last <br />F r t N-liddle <br />DOB <br />Race/sc• <br />es. Udrcm <br />Citv <br />State <br />Zip <br />Rtes. llhone� <br />Work- Phone! <br />�4- <br />"LA 11 <br />AJl� <br />— 7 <br />5 -1 <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 />notifled that you are prohibited from (check 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 you violated Section 4 .-- of the Park <br />and Open Space Rules, and/or Section -- o the Eugene Code, 1971, and/or ORS To wit, you <br />P0 'so ZT LIA �AJX <br />(Description of the violation.) <br />T i9L)y <br />h on, is restricti 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, y o u r ay 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 48 hours (exclusive of weekends) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />ing/defivering nofice) <br />I hereby acknowledge receipt of the above Notice on the date and uric indicat above. <br />issu the notice) <br />(Signature of <br />Whitr� Copy; Public Wo&r GremCepy: File Yellow Copy: Rcpoyl Copy Pink Copy: R kxipient Cold Copy: Offikxr Appeal notice Rcv, 04.10 <br />