tJnde,r the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005(3), you are hereby <br />notified that you are prohibited from (check box)- <br />Entering in or using all City of Euge ne parks, open spaces or facilities. <br />X <br />The basis for this Notice of Restriction of Use is that on you Violatcol Section - 0, 0Y <br />A4 of the Park <br />and Open Space Rules, and/or Section of the Eugene Code, 1971 and/or ORS To wit, You: �ret: k"_' <br />, rte J'3156(aSlllltlll �dp J )L(55 <br />t I Description of the violation.) <br />Marne Last First Mid(fle <br />DOB <br />Race/"ex <br />,Z' <br />A- "CL4 <br />3 <br />.. ... .. . .. ...... .... <br />Res. Address: C, i V <br />state <br />Zip <br />Res. Pholie: <br />Work Phone: <br />tJnde,r the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005(3), you are hereby <br />notified that you are prohibited from (check box)- <br />Entering in or using all City of Euge ne parks, open spaces or facilities. <br />X <br />The basis for this Notice of Restriction of Use is that on you Violatcol Section - 0, 0Y <br />A4 of the Park <br />and Open Space Rules, and/or Section of the Eugene Code, 1971 and/or ORS To wit, You: �ret: k"_' <br />, rte J'3156(aSlllltlll �dp J )L(55 <br />t I Description of the violation.) <br />This restriction of use is effective lie' ginning on <br />A- "CL4 <br />and shall remain in effect until J) <br />If you enter in or use liny City of Eugene park, open space or facility during the effective period of this Notice, you may be <br />at and charged with criminal trespass in the second degree. <br />Pursuant to Park and Open Space Rule R - .074 you are entitled to an informal hearing to contest this Notice. A request ft 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 4ial I schedule a tirne and place for the infi-m hearing to be conducted, which shal 1, 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 testimony from you, City personnel involved in the incident that resulted in this Notice, and other witue."es to the <br />incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the infornial hearing, <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of ExclU-SiCal was delivered to the person named at the top of this Notice at the date and time shown above by: <br />.. ..... . .... 'C"31- <br />(Signat(ire of person issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the (late and time Indicated above. <br />(SigMALIFe of'person, being issued the notice) <br />White Copy. Public Works U's ':n ( opy: 6 ile Yi,4[wk Copy: Repoa Copy Ili A Coley: Recipient 1 - 1oki 4 opy Offiwcr Appe+ fl noiico Rcv 04!0j <br />