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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 of Eugene parks, open spaces or facilities.
<br />X
<br />(Description ofthe violation.)
<br />This restriction of use is effective beginning on I&Jj—, and shall reinain in effect until 1"?LIL.
<br />If you enter in or rise any City= of Eugene park, open space or facility during the effective period of this Notice, you 1 be
<br />arrestcd and charged with cru trespass in the second degree.
<br />pursuant to Park and Open Space Role R- 1 -074 you are entitled to an informal hearing to contcst this Notice, A request for airs
<br />informal hearing must be makle in writing and filed with the Parks & Open Space Division Direc(or ("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) 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 Mcident ffia[ resulted In this Notice, and other witnegses to the
<br />inc item. The Division Director may exclude anyone, other than you and those presenting testimony, from the informal hearing,
<br />This Notice shall remain in effect pending any requested hearing.
<br />This Notice ol'Exclusion was delivered to the person narned at the top of this Notice at the chite and tfine ° ovvn above bye�
<br />(Sign I ile notice)
<br />I hereby acknowledge receipt ofthe above Notice on the date and tinie indicated z
<br />(Slgua@Ute 0l'1aC1 bellIg ISSUed the notice)
<br />Whiw Copy Public Works Green (—py: I fle Yd1ow Copy: R,uPvd Copy Pink C(I)y: Rccipww Cidd Cop,! Offii, Appeal Fiolice R e,, 040 z
<br />Naiyie� Last First Mi(hfle
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<br />Res,, Address: Cil)w State Z"i
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<br />Res. Phone:
<br />Work Phonc',
<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 />Entering in or using all City of Eugene parks, open spaces or facilities.
<br />X
<br />(Description ofthe violation.)
<br />This restriction of use is effective beginning on I&Jj—, and shall reinain in effect until 1"?LIL.
<br />If you enter in or rise any City= of Eugene park, open space or facility during the effective period of this Notice, you 1 be
<br />arrestcd and charged with cru trespass in the second degree.
<br />pursuant to Park and Open Space Role R- 1 -074 you are entitled to an informal hearing to contcst this Notice, A request for airs
<br />informal hearing must be makle in writing and filed with the Parks & Open Space Division Direc(or ("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) 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 Mcident ffia[ resulted In this Notice, and other witnegses to the
<br />inc item. The Division Director may exclude anyone, other than you and those presenting testimony, from the informal hearing,
<br />This Notice shall remain in effect pending any requested hearing.
<br />This Notice ol'Exclusion was delivered to the person narned at the top of this Notice at the chite and tfine ° ovvn above bye�
<br />(Sign I ile notice)
<br />I hereby acknowledge receipt ofthe above Notice on the date and tinie indicated z
<br />(Slgua@Ute 0l'1aC1 bellIg ISSUed the notice)
<br />Whiw Copy Public Works Green (—py: I fle Yd1ow Copy: R,uPvd Copy Pink C(I)y: Rccipww Cidd Cop,! Offii, Appeal Fiolice R e,, 040 z
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