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LOCATION (PARIC/0PEN SPACE): <br />--- - ------- - <br />Under the authority of Ad ministrative 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 />A 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 you violated Section A CIO ofthe Park <br />and Open Space Rules, and/or Section -�/ 110 1- of the Eugene (,,,ode, 1971, and/or ORS I'll, IIIII-1-111--------- To wit, you: <br />arre,ted and charged with criminal trespass in the second degree <br />Pursuant to Park and Open Space Rule R-1.074 you are entitled to all iril"ornial hearing to contest this Notice. A request for an <br />informal hearing rnust. be Made ]it writing and filed with the Parks & Open Space Division Director ( "`flit: Division Director") <br />within 48 hours (exclusive of'weekends) ofrecelint of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />'rite Division Director shall schedule a time and place for the informal hearing to be condUCted, which shall be not more than <br />7 12 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 witnesses to the <br />incident. The Division Director rnay exclude anyone, other than YOU and those presenting testimony, froin the in brrnal he�aring. <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice Of EXCILIS1011 was delivered to the person nanted at the top of this Notice at the date and time shown above bY <br />(Signature of person issuing /delivering notice) <br />I hereby acknowledge receipt of the above Notice on the dalcand tHrie indicated above. <br />(Signature of pers. being ISSLICd 111C I10dC') <br />While ( opy: P1113fic Wol J� 3 Cram ('opy Hie Yellow ( opy: Repoo ( opy Pmk Copy: Recipient Gold ( , op Offilcel AJIPC�11 11once Rt 04AIJ, <br />Najrie: Last First Middle <br />D011: <br />Race/ScN: <br />rt:�� 4 ze— ma y„ s P,4 <br />0 ( c 2 '742 <br />Res, Address: ('11Y <br />State <br />Zip <br />Res- Phone: <br />Work Phone: <br />Under the authority of Ad ministrative 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 />A 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 you violated Section A CIO ofthe Park <br />and Open Space Rules, and/or Section -�/ 110 1- of the Eugene (,,,ode, 1971, and/or ORS I'll, IIIII-1-111--------- To wit, you: <br />arre,ted and charged with criminal trespass in the second degree <br />Pursuant to Park and Open Space Rule R-1.074 you are entitled to all iril"ornial hearing to contest this Notice. A request for an <br />informal hearing rnust. be Made ]it writing and filed with the Parks & Open Space Division Director ( "`flit: Division Director") <br />within 48 hours (exclusive of'weekends) ofrecelint of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />'rite Division Director shall schedule a time and place for the informal hearing to be condUCted, which shall be not more than <br />7 12 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 witnesses to the <br />incident. The Division Director rnay exclude anyone, other than YOU and those presenting testimony, froin the in brrnal he�aring. <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice Of EXCILIS1011 was delivered to the person nanted at the top of this Notice at the date and time shown above bY <br />(Signature of person issuing /delivering notice) <br />I hereby acknowledge receipt of the above Notice on the dalcand tHrie indicated above. <br />(Signature of pers. being ISSLICd 111C I10dC') <br />While ( opy: P1113fic Wol J� 3 Cram ('opy Hie Yellow ( opy: Repoo ( opy Pmk Copy: Recipient Gold ( , op Offilcel AJIPC�11 11once Rt 04AIJ, <br />