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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 />/ A?L Entering in or using all City of Eugene parks, open spaces or facilities. <br />and Open Space Rules, and/or Section _11 152 /r) of the E'ugene Code, 1971, and/or ORS To wit, You: <br />It l - ------- -- ---- __­ <br />c " <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall remain i n effect until <br />Ifyou enter in or use any City- of ugeric park, open space or facility during the efl&tive period of this Notice, you may be <br />arrested and charged with criminal trespass in the second degree, <br />Pursuant to Park and Open Space Rule R -1.074 you are entitled to an informal hearing to contest this Notice. Areques[fortart <br />informal hearing must be made in writing and filed with the parks & Open Space Division Director ("theDivision Director") <br />within 48 hours (exclusive ol'weekends) of receipt of this Notice at the following address 111220 oosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Director shall schedule a tirne and place for the informal hearing to be condLICIed, which shall be not niorc than <br />72 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 may exclude anyone, other than you and those presenting testimony, from the infornia I hearing, <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice cif Exclusion was delivered to the person named at the top of this Notice at the date and tirtic showp above by: <br />--�; ) Y <br />/ <br />LLI_ I _fPJ <br />(Sit2naturc of person iSSL61 &Oeliveringhooce) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above, <br />(Signature of person Dieing issued the notice) <br />PubljcWmky OcInCopy: 1 Y dh)w Copy. Reporl Copy F`Nnk ( opv Recipom Goki Copy: OfIloci Appeal nolix RcL 4 - 0 4 ? 0 ?s <br />Nance Last <br />Firsl <br />'Middle <br />DOB: <br />Race,/Sex� <br />Res. Address: <br />c1tv <br />State <br />Zip <br />Res, Phone: <br />Work- Ph(mie: <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 />/ A?L Entering in or using all City of Eugene parks, open spaces or facilities. <br />and Open Space Rules, and/or Section _11 152 /r) of the E'ugene Code, 1971, and/or ORS To wit, You: <br />It l - ------- -- ---- __­ <br />c " <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall remain i n effect until <br />Ifyou enter in or use any City- of ugeric park, open space or facility during the efl&tive period of this Notice, you may be <br />arrested and charged with criminal trespass in the second degree, <br />Pursuant to Park and Open Space Rule R -1.074 you are entitled to an informal hearing to contest this Notice. Areques[fortart <br />informal hearing must be made in writing and filed with the parks & Open Space Division Director ("theDivision Director") <br />within 48 hours (exclusive ol'weekends) of receipt of this Notice at the following address 111220 oosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Director shall schedule a tirne and place for the informal hearing to be condLICIed, which shall be not niorc than <br />72 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 may exclude anyone, other than you and those presenting testimony, from the infornia I hearing, <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice cif Exclusion was delivered to the person named at the top of this Notice at the date and tirtic showp above by: <br />--�; ) Y <br />/ <br />LLI_ I _fPJ <br />(Sit2naturc of person iSSL61 &Oeliveringhooce) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above, <br />(Signature of person Dieing issued the notice) <br />PubljcWmky OcInCopy: 1 Y dh)w Copy. Reporl Copy F`Nnk ( opv Recipom Goki Copy: OfIloci Appeal nolix RcL 4 - 0 4 ? 0 ?s <br />