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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 hereltv <br />notified that you are prohibited from (check box) <br />jt Entering in or using all City of Eugene parks, open spaces or facilities. <br />a <br />The basis for this Notice of Restriction of Use is that on you violated Section 1" 4y /�f <br />)e Park <br />and Open SlIace Rules, and/or Section . 4 of the Eugene Code, 1 971, andior ORS To wit, you <br />(Description of the violation.) <br />This restriction of use is effective beginning on A0 0 9 /'� /- and shall remain in effect untilZL�2��/-- <br />Ifyou enter in or use any City offugerte park, open space or I ` ircility during the effective period offinq Notice, you may be <br />arrested and charged with criminal trespass in the second degree. <br />PLU'Suant to Park and Open Space Rule -1.074 you are entitled to an informal hearing 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 ("the Division Director") <br />within 48 hours (exclusive of weekends) of receipt of this Notice at the l'ollowing address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Director shall schedule a. time and place for the infion hearing to be condUcted, which shall be not more than <br />72 hours (exclusive of weekends) of receipt ofthe 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. 'rhe DMsion Director may exclude anyone, other than you and those presenting testimony, from the in forniai hearing, <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of Exclusion was delivered to the person named at the top of this Notice at the date and time shown above by;; <br />- - -- ---------- <br />(Signature f erson issuflig/defivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(Si,anature of person being issued the notice,) <br />W' h i ty Co py. - Pub I �c Woa k s (4Q(m(opy hic Y e I I o . C an -: Repor Copy Pink Copy: Recipieni Gold eta to Office Apjwud rwnC ;(r Re v, i 6 -t'0' � <br />Nia 1 La st First '- fiddle <br />DOB: <br />Raw&-x <br />;1, <br />AJ rl 0 N <br />Res. Address: City <br />State <br />Zip <br />Ic P I ion e <br />Work Phone: <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005(3), you are hereltv <br />notified that you are prohibited from (check box) <br />jt Entering in or using all City of Eugene parks, open spaces or facilities. <br />a <br />The basis for this Notice of Restriction of Use is that on you violated Section 1" 4y /�f <br />)e Park <br />and Open SlIace Rules, and/or Section . 4 of the Eugene Code, 1 971, andior ORS To wit, you <br />(Description of the violation.) <br />This restriction of use is effective beginning on A0 0 9 /'� /- and shall remain in effect untilZL�2��/-- <br />Ifyou enter in or use any City offugerte park, open space or I ` ircility during the effective period offinq Notice, you may be <br />arrested and charged with criminal trespass in the second degree. <br />PLU'Suant to Park and Open Space Rule -1.074 you are entitled to an informal hearing 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 ("the Division Director") <br />within 48 hours (exclusive of weekends) of receipt of this Notice at the l'ollowing address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Director shall schedule a. time and place for the infion hearing to be condUcted, which shall be not more than <br />72 hours (exclusive of weekends) of receipt ofthe 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. 'rhe DMsion Director may exclude anyone, other than you and those presenting testimony, from the in forniai hearing, <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of Exclusion was delivered to the person named at the top of this Notice at the date and time shown above by;; <br />- - -- ---------- <br />(Signature f erson issuflig/defivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(Si,anature of person being issued the notice,) <br />W' h i ty Co py. - Pub I �c Woa k s (4Q(m(opy hic Y e I I o . C an -: Repor Copy Pink Copy: Recipieni Gold eta to Office Apjwud rwnC ;(r Re v, i 6 -t'0' � <br />