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8 � 5 1 2 Z5� - 51
<br />L:nder the authority of Administrative Order No. 58-03-24-F and Park and Opera Space Rule R-1.005(3), you are hereby
<br />notified that you are prohibited from (check, box):
<br />�M Entering in or using all City of Eugene parks, open spaces or facilities.
<br />Fd
<br />The basis for this Notice of Restriction of Use is that. on you violated Section of the Park
<br />and Open Space Rules, and/or Section _7 of the Eugene Code, 1971.. and/or OR S To wit, vou:
<br />4, 2
<br />(Description of the. viohition,)
<br />/
<br />This restriction of use is effective beginning on q and shall remain in effect until o
<br />If you enter in or tise any C'nv ol'f"Llgcne park, open space or facility during the effective perlod of this Notice, YOU may be
<br />an and charged with criminal trespass in the second dcgrec.
<br />PurSUant to Park and Open Space Rule R-1.074 you are entitled to an informal hearing to contest this Notice, A request for all
<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 shall schedule a time and place for the informal hearing to be conducted, which shall be not more than
<br />72 hours (exclusive of weekends) ofteecipt of the request fbr hearing. At the int6nnal hearing the Division Director Nvill only
<br />considcr testin frorn you, (Jty personnel involved M the incident that resulted in this Notice, and other witnesses to the
<br />incident. 'rhe Division Director rnay exclude anyone, other than you and those presenting testimony, from his infornial hearing,
<br />This Notiee shall remain in effect pending any requested hearing.
<br />This Notice o I'Exclusion was delivered to the person name(] at the top of this Notice at the date and firne shown above by;
<br />4J
<br />(SignatUre OfPCI issuing delivering notice)
<br />e
<br />z-
<br />I hereby acknowledge receipt of the above Notice oil the date and time indicated above,
<br />(Signature person being issued the notice)
<br />Whil Copy Pub] i wol ks CrecnColm He Yellow Copv Rep(m ( op" Pmk Copy: Rccipieni (3oki(opy Officej Rev, 04 W
<br />Narne, Lass First iddle
<br />M 13
<br />z 'R U e"' S, ex:
<br />Res. Address: Citv
<br />State
<br />Zip
<br />131 ae:
<br />Work Phone:
<br />? 2,4
<br />)
<br />L:nder the authority of Administrative Order No. 58-03-24-F and Park and Opera Space Rule R-1.005(3), you are hereby
<br />notified that you are prohibited from (check, box):
<br />�M Entering in or using all City of Eugene parks, open spaces or facilities.
<br />Fd
<br />The basis for this Notice of Restriction of Use is that. on you violated Section of the Park
<br />and Open Space Rules, and/or Section _7 of the Eugene Code, 1971.. and/or OR S To wit, vou:
<br />4, 2
<br />(Description of the. viohition,)
<br />/
<br />This restriction of use is effective beginning on q and shall remain in effect until o
<br />If you enter in or tise any C'nv ol'f"Llgcne park, open space or facility during the effective perlod of this Notice, YOU may be
<br />an and charged with criminal trespass in the second dcgrec.
<br />PurSUant to Park and Open Space Rule R-1.074 you are entitled to an informal hearing to contest this Notice, A request for all
<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 shall schedule a time and place for the informal hearing to be conducted, which shall be not more than
<br />72 hours (exclusive of weekends) ofteecipt of the request fbr hearing. At the int6nnal hearing the Division Director Nvill only
<br />considcr testin frorn you, (Jty personnel involved M the incident that resulted in this Notice, and other witnesses to the
<br />incident. 'rhe Division Director rnay exclude anyone, other than you and those presenting testimony, from his infornial hearing,
<br />This Notiee shall remain in effect pending any requested hearing.
<br />This Notice o I'Exclusion was delivered to the person name(] at the top of this Notice at the date and firne shown above by;
<br />4J
<br />(SignatUre OfPCI issuing delivering notice)
<br />e
<br />z-
<br />I hereby acknowledge receipt of the above Notice oil the date and time indicated above,
<br />(Signature person being issued the notice)
<br />Whil Copy Pub] i wol ks CrecnColm He Yellow Copv Rep(m ( op" Pmk Copy: Rccipieni (3oki(opy Officej Rev, 04 W
<br />
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