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: <br />NMC� II adst Fir�,t Nlid(fle <br />C VE Egr 15A� <br />� i* 1 <br />�; <br />Cit <br />jReist,Vdress" <br />Z— 10� <br />state <br />Zip <br />Res. 1 <br />%-. <br />I <br />— <br />M <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005(3) you are herebv <br />notified that you are prohibited. frorn (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 09 W1 -, you violated Section leb/Dof The Park <br />and Open Space Rules, and/or Section of the Eugene Code, 1971 and/or ORS <br />I To wit, youm <br />J <br />This restriction of use is effective beginning on 09 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 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 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 />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 hearin& At the infornial 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, from 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 ol'this Notice Er z i e shown above by: <br />�So ing/de l ering notice) <br />of llero <br />tire of perso issu <br />I hereby acknowledge receipt of the above Notice on the date and Time indicated above, <br />I C ign <br />., ature of person be ng issued the noll C, <br />White Cupy Pubku Works Green Copy: Fl: Yeitow Copy ReporXespy Pink colrj Recipient 6old Copy: Ofl - wer Appeal itutwe kev , 041T6 <br />