LOCATION (PAI�KJOPEN SPACE):_ <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 />notified that you are prohibited from (check box): <br />01 Entering in or using all City of Eugene parks, open spaces or facilities. <br />0 4 the --- ­­' <br />The basis fo r this Notice of Restriction of tjse is that on A 1_ you violated Section violated Section (2 4i Park <br />t <br />and 0 en Space Rules, as Section of the Eugene Code, 197 1, and/or ORS, TO wit, <br />P you:_ <br />(C <br />(Description of the violatiori,) Olt L)t,,AK WAPIVITFIkD <br />This restriction of use is effeTtive beginning on 0 ll a and shall remain in effect until - /Lllit <br />L <br />If you enter in or use any City of Eugene park, open space or facility during the effective period of this Notice, you rilay be <br />arrested and charged with criminal trespass in the second degree. <br />Pursuant to Park and Open Space Bole R- 1.074 you are entitled to an informal hearing to contest this Notice, A request for an <br />C, <br />inforinal hearing must be inade in writing and filed with the Parks & Open Space Division Director ("the Division Directoe') <br />within 48 hours (exclusive of'weekends) of receipt of this Notice at the following address: 1821) Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Director shall schedule a time and place fior the informal hearing to be conducted, which shall be not more than <br />72 hours (exclusive of weekend s) ol'receipt of the request f(.)r 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 witnesses to the <br />incident. The Division Director ri exclude anyone, other than you and those presenting 1"Urnony, froin the informal Ficaring, <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of kxclusion was delivered to the 1)erson named at the top offlii;sN/oticea date and time shown above by: <br />i � g �_ c f <br />at 11 <br />1 nature of per issuing-'delivering notice) <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 />whac Cully. 9 ublic wolk" 0=10)py: I , i1c VeHow Cupy: Rc.p.,ri Copy Pink Copy. Recipient C iold Copy: 0 Hicer Appeal noi kce Re\, 0414)"', <br />Naaie: Last First Me <br />D 013. <br />Y, <br />Race/S'X: <br />V_ 19) j" A C 0 <br />1 5 <br />W "M <br />.... ...... <br />Kes. Address: City <br />state <br />1 <br />Zip <br />R0, Phone: <br />Work Plione, <br />7 0L '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 />notified that you are prohibited from (check box): <br />01 Entering in or using all City of Eugene parks, open spaces or facilities. <br />0 4 the --- ­­' <br />The basis fo r this Notice of Restriction of tjse is that on A 1_ you violated Section violated Section (2 4i Park <br />t <br />and 0 en Space Rules, as Section of the Eugene Code, 197 1, and/or ORS, TO wit, <br />P you:_ <br />(C <br />(Description of the violatiori,) Olt L)t,,AK WAPIVITFIkD <br />This restriction of use is effeTtive beginning on 0 ll a and shall remain in effect until - /Lllit <br />L <br />If you enter in or use any City of Eugene park, open space or facility during the effective period of this Notice, you rilay be <br />arrested and charged with criminal trespass in the second degree. <br />Pursuant to Park and Open Space Bole R- 1.074 you are entitled to an informal hearing to contest this Notice, A request for an <br />C, <br />inforinal hearing must be inade in writing and filed with the Parks & Open Space Division Director ("the Division Directoe') <br />within 48 hours (exclusive of'weekends) of receipt of this Notice at the following address: 1821) Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Director shall schedule a time and place fior the informal hearing to be conducted, which shall be not more than <br />72 hours (exclusive of weekend s) ol'receipt of the request f(.)r 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 witnesses to the <br />incident. The Division Director ri exclude anyone, other than you and those presenting 1"Urnony, froin the informal Ficaring, <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of kxclusion was delivered to the 1)erson named at the top offlii;sN/oticea date and time shown above by: <br />i � g �_ c f <br />at 11 <br />1 nature of per issuing-'delivering notice) <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 />whac Cully. 9 ublic wolk" 0=10)py: I , i1c VeHow Cupy: Rc.p.,ri Copy Pink Copy. Recipient C iold Copy: 0 Hicer Appeal noi kce Re\, 0414)"', <br />