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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 />Entering in or using all City ol'Eugene parks, open spaces or facilities. <br />0 <br />(Description of the ViOlartiOn.) <br />This restriction of use is effective beginning on V/ 7 11 <br />I L N. ® , and shall remain in effect until jA- <br />If you enter in or use any City of Ftugene park, open space or facility during the effective period of this Notice, you 111ay be <br />arrested and charged with criminal trespass in the Second degree. <br />Pursuant to Park and Open S] Rule R- 1.074 you are entitled to an informal hearing to contest this Notice, A reqUCM f,, art <br />informal hearing must be rnade in writing and filed with the Parks & Open Space Division Director ("the Division Director") <br />within 48 hours (exclusive of weekends) ofreceipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Director shall schedule a time and Place for the nil'on hearing to be conducted. whiclishall be not more than <br />72 hours (exclusive ot'weekends) of receipt of the request for hearing, At the Informal hearing the Division Director will only <br />consider lest4riony From yon, City personnel involved in the incident that resulted in this Notice, and other witnesses to the <br />incident. The [Div ision Director may exclude anyone, other than VOU and those presenting test i inony, from the in Format hearing, <br />This Notice shall rernain in effect pending any requested hearing. <br />N't' the da <br />this Notice fl <br />o, UiLkSi011 wvas delivered to the person narned at the top ofthis at and fin above by: <br />l2v ---------- ---- <br />(Signature of person issuine/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above, <br />. . . ... ........ W - - -- - - - - -- - __ -_ <br />(Signature ofperson being issued the notice) <br />WhjW Copy: Public woflc5 (jlu�',L[Copy: 1 fle YcHo"v Copy; Repon Copy Pink C(qy: He,6j1i(!m[ 6uld ( ol,')y: Officcr AppeA nolice R , 1 4e, <br />