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Under the authority of Ad ministrative Order No. 58-03-24-F and Parka nd Open Space Rule R-1.0(1 5(3), you are hereby <br />notified that you are prohibited from (check box): <br />Entering in or using,,411 City eiie jtxry open spaces or facilities. <br />The basis fior this Notice of'Restriction of Use is that on 4> of <br />you violated Section the Park cx � <br />and Opp) Space Rules, and/or Section <br />the Eugene Code, 197 1, and/or ORS To wit, you: <br />M <br />(Description of tape violation.) <br />This restriction of arse is effective beginning on and shall remain in effect until <br />If'vou enter in or rise any City of Eugene park, open space or facility daring the effective period of this Notice, you may be <br />arrested and charged with criminal trespass in the second degree. <br />Pursuanttai Park and Open Space Rule 1 -1.074 you dire entitled to an infornial hearringtocontest this Notice, A request foran <br />informal hearing must be made in writing and filed with the Parks & Open Space Division Director ("flic Division Director <br />within 48 hours (exclusive of weekends) of'receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />97401 <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 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, '[he Division Director may exclude anyone, other than you and those presenting testimony, from the informal I'ieadng, <br />1"his Notice shall remain in effect pending any requested hearing. <br />This Notice cit'ExclUSiCill was delivered to the person narned at the top of this Notice at the date and 111i'leshown above by <br />(,Signalure ol'person iSSUlng/dehvering notice) <br />While Co1w Public Woik Gun Cupy: File Yellwx cop Report ( op Pink Ccp% Rccipiciil Gold Copv� Ofl Appeal n,?Lico 04 O I <br />MiMe <br />DOB <br />Race/sex: <br />A Ii4A <br />R SI ate <br />St7-4 <br />Zip <br />R- Mi <br />� m e- <br />C I <br />Under the authority of Ad ministrative Order No. 58-03-24-F and Parka nd Open Space Rule R-1.0(1 5(3), you are hereby <br />notified that you are prohibited from (check box): <br />Entering in or using,,411 City eiie jtxry open spaces or facilities. <br />The basis fior this Notice of'Restriction of Use is that on 4> of <br />you violated Section the Park cx � <br />and Opp) Space Rules, and/or Section <br />the Eugene Code, 197 1, and/or ORS To wit, you: <br />M <br />(Description of tape violation.) <br />This restriction of arse is effective beginning on and shall remain in effect until <br />If'vou enter in or rise any City of Eugene park, open space or facility daring the effective period of this Notice, you may be <br />arrested and charged with criminal trespass in the second degree. <br />Pursuanttai Park and Open Space Rule 1 -1.074 you dire entitled to an infornial hearringtocontest this Notice, A request foran <br />informal hearing must be made in writing and filed with the Parks & Open Space Division Director ("flic Division Director <br />within 48 hours (exclusive of weekends) of'receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />97401 <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 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, '[he Division Director may exclude anyone, other than you and those presenting testimony, from the informal I'ieadng, <br />1"his Notice shall remain in effect pending any requested hearing. <br />This Notice cit'ExclUSiCill was delivered to the person narned at the top of this Notice at the date and 111i'leshown above by <br />(,Signalure ol'person iSSUlng/dehvering notice) <br />While Co1w Public Woik Gun Cupy: File Yellwx cop Report ( op Pink Ccp% Rccipiciil Gold Copv� Ofl Appeal n,?Lico 04 O I <br />