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 />X Entering in or using all City of Eugene parks, open spaces or facilities. <br />X <br />If you enter in or use any Ci ty of'EUgene park, open space or facility during the effective period of this Notice, you 1 be <br />arrested and charged with criminal trespass in the second degree, <br />Pursuant to Park and Open Space Rule R-1,0 74 You are entitled to an informal heaxing to contest this Notice. A request for an <br />informal hearing must be made in writing and filed with the Parks & Open Space Division Director ( Division Director") <br />within 48 hours (exclusive of weekends) of receipt ol"this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Director shall schedule a firric and place for the informal hearing to be conducted, wbich shall be not more 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 front 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, Froni the in fornial hearing. <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of Exclusion was delivered it) the person married 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 date and time indicated above. <br />(Signature of person being iSSLwd the ricnice) <br />wh1w, Ctql): Fubhc wol's Gveer[Copy: F,le Yclk, Copy R�,'pod ( op% PiA ( o6 , Recipicrit Gold Copy: Ofikel Appeal nok,:e fir 0 4 0-; <br />Mnie: Last <br />First Middle <br />DOB <br />It ac e/S e <br />C— 6i Q <br />4A4AI <br />Res. Address: <br />GtV <br />State <br />Zip <br />Res. Pliotic <br />Work Plume: <br />4-� <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 />X Entering in or using all City of Eugene parks, open spaces or facilities. <br />X <br />If you enter in or use any Ci ty of'EUgene park, open space or facility during the effective period of this Notice, you 1 be <br />arrested and charged with criminal trespass in the second degree, <br />Pursuant to Park and Open Space Rule R-1,0 74 You are entitled to an informal heaxing to contest this Notice. A request for an <br />informal hearing must be made in writing and filed with the Parks & Open Space Division Director ( Division Director") <br />within 48 hours (exclusive of weekends) of receipt ol"this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Director shall schedule a firric and place for the informal hearing to be conducted, wbich shall be not more 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 front 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, Froni the in fornial hearing. <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of Exclusion was delivered it) the person married 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 date and time indicated above. <br />(Signature of person being iSSLwd the ricnice) <br />wh1w, Ctql): Fubhc wol's Gveer[Copy: F,le Yclk, Copy R�,'pod ( op% PiA ( o6 , Recipicrit Gold Copy: Ofikel Appeal nok,:e fir 0 4 0-; <br />