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Under the authority of Ad ministrative Order No. 58-03-24-Fand Park and Open Space Rule R-1.005(3),you are hereby <br />notified that you are prohibited from (check box): <br />1 Entering in or using all City of Eugene parks, open spaces or facilities. <br />X <br />The basis for this Notice of Restriction of Use is that oat - s/?�� You viola n violated Sec of the Ilark <br />W -- - ------- <br />and Open Space Rules. and/or Section C I O of the Eugene Code, !X171, and/or ORS TO Wi YOU: <br />� C ' Of' AAJ h I " n iom j <br />(Description of the violation.) <br />This restriction of use is effective beginning on Cy Zn and shall remain in effect until <br />II'vou enter in Or use MIV City of'Eugene park, open space or facility during the effective period offlils Notice, VOLT ind'y 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 intlortnal hearing to corilest this Notice. A request for an <br />informal hearing Must be made in writing and filed with the Parks & Open Space Division Director ("the Divisiot Director") <br />within 48 hours (exclusive of weekends) ol"reecipt oll'thisNotice 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 ol'weekends) of receipt of the request for hearing. At the infiortrial 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 rnay 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 narned at the top of this Notice at the date and time shown above by� <br />(Signature ofper.qon issuing /delivering nonce) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above, <br />(Signature of'person being issued the notice) <br />vVhiw Copy: Pubhc Works 6recn ( opy- a s1v Yellow C upy: Rtporl Copy Pink Copy: R cipinl Gold Copy Offi er App cal nwice Rev 0 44) " <br />N tm Last First Mi(ldle <br />D0p: <br />Raee; <br />)AW712 C A/ <br />1 2, <br />f( <br />Res. Addtess� Oly <br />State <br />Zip <br />Res. Phorie <br />Work- Ptione� <br />C) <br />0 C C1 <br />Under the authority of Ad ministrative Order No. 58-03-24-Fand Park and Open Space Rule R-1.005(3),you are hereby <br />notified that you are prohibited from (check box): <br />1 Entering in or using all City of Eugene parks, open spaces or facilities. <br />X <br />The basis for this Notice of Restriction of Use is that oat - s/?�� You viola n violated Sec of the Ilark <br />W -- - ------- <br />and Open Space Rules. and/or Section C I O of the Eugene Code, !X171, and/or ORS TO Wi YOU: <br />� C ' Of' AAJ h I " n iom j <br />(Description of the violation.) <br />This restriction of use is effective beginning on Cy Zn and shall remain in effect until <br />II'vou enter in Or use MIV City of'Eugene park, open space or facility during the effective period offlils Notice, VOLT ind'y 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 intlortnal hearing to corilest this Notice. A request for an <br />informal hearing Must be made in writing and filed with the Parks & Open Space Division Director ("the Divisiot Director") <br />within 48 hours (exclusive of weekends) ol"reecipt oll'thisNotice 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 ol'weekends) of receipt of the request for hearing. At the infiortrial 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 rnay 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 narned at the top of this Notice at the date and time shown above by� <br />(Signature ofper.qon issuing /delivering nonce) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above, <br />(Signature of'person being issued the notice) <br />vVhiw Copy: Pubhc Works 6recn ( opy- a s1v Yellow C upy: Rtporl Copy Pink Copy: R cipinl Gold Copy Offi er App cal nwice Rev 0 44) " <br />