I <br />LOCATION (PARK, SPACT'l):_0 Po2-Akcmc-, Cb�� <br />Under the authoritv of Administrative Order No. 58-03-24-Fand Park and Open Space Rule R-1.005(3), you are her <br />notified that you are prohibited from (check box): <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />IN, <br />The basis for this Notice of Restriction of Use is that ern , the P <br />- -L o ark <br />7— you violate(] Section <br />a oig <br />nd Open Spac e Rule s, and/or Section ___ot' the EugeiieC'ode.1971, rnd,'orORS-------,------,---I Fowit7you:___ <br />(Description oCthe violation.) <br />This restriction of use is effective beginning on and shall remain in effect unti <br />If YOU enter in or use any City of Eugene park, open space or facility during the effective period ol'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 inf"ornial bearing to contest this Notice. A request f o ra n <br />informal hearing must be made in writing and filed with the Parks & Open Space Division Director ('Vie Division Director") <br />within 48 hours (exclusive of weekends) of receipt of this Notice al the Following address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Director shall schedule a tirrie and place for the informal hearing to be conducted, which shar be not nic�re flian <br />C <br />1 2 110LIN (eXCILISiVC of weekends) of receipt of the request for hearinD. 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 (lie <br />incident, The Division Director inay exclude anyone, other than you and those presenting testimony, from the infortn,,fl hearing- <br />This Notice shall rernain in effect pending any requested hearing. <br />This Notice of'Exclusion was delivered to the person maned at the to of this Notice at the date and time shown above bv- <br />(Signature of person issuing/defivering notice) <br />I hereby acknowledge receipt cif the above Notice on the date kind time indicated above, <br />(Signature of person being issued the notice) <br />, <br />While ( olly, Public W(A", kiro"n Ceyy I k Ydh)w Copy l Report Copy Pink Cup Recipient Gck[d ( opy: Offijc',r Appoul riodw.,- R cv, 04A i ' , <br />Narne. fast Fit M� <br />- st <br />R <br />Wok <br />i <br />Res, Addre.`ss City <br />State <br />Zip <br />Re. Phone: <br />work Phone: <br />a <br />Under the authoritv of Administrative Order No. 58-03-24-Fand Park and Open Space Rule R-1.005(3), you are her <br />notified that you are prohibited from (check box): <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />IN, <br />The basis for this Notice of Restriction of Use is that ern , the P <br />- -L o ark <br />7— you violate(] Section <br />a oig <br />nd Open Spac e Rule s, and/or Section ___ot' the EugeiieC'ode.1971, rnd,'orORS-------,------,---I Fowit7you:___ <br />(Description oCthe violation.) <br />This restriction of use is effective beginning on and shall remain in effect unti <br />If YOU enter in or use any City of Eugene park, open space or facility during the effective period ol'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 inf"ornial bearing to contest this Notice. A request f o ra n <br />informal hearing must be made in writing and filed with the Parks & Open Space Division Director ('Vie Division Director") <br />within 48 hours (exclusive of weekends) of receipt of this Notice al the Following address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Director shall schedule a tirrie and place for the informal hearing to be conducted, which shar be not nic�re flian <br />C <br />1 2 110LIN (eXCILISiVC of weekends) of receipt of the request for hearinD. 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 (lie <br />incident, The Division Director inay exclude anyone, other than you and those presenting testimony, from the infortn,,fl hearing- <br />This Notice shall rernain in effect pending any requested hearing. <br />This Notice of'Exclusion was delivered to the person maned at the to of this Notice at the date and time shown above bv- <br />(Signature of person issuing/defivering notice) <br />I hereby acknowledge receipt cif the above Notice on the date kind time indicated above, <br />(Signature of person being issued the notice) <br />, <br />While ( olly, Public W(A", kiro"n Ceyy I k Ydh)w Copy l Report Copy Pink Cup Recipient Gck[d ( opy: Offijc',r Appoul riodw.,- R cv, 04A i ' , <br />