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LOCATION (PARK/0Pl1-;N SPACE)�__&— <br />Girder= the authoritv of Administrative Order No. 58-03-24-F and Park and Open Space Rule 1 -L005(3), you are herel)v <br />notified that you are prohibited from (check box): <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />19 <br />The basis for t h i s Notice of Restricti on of Use is that on you violated Section _`Z_ t ofthellark <br />and Open Space lWes, and/or Section of the Eugene Code, 1971, and/or OR To will, you:. __ <br />L-> <br />J�L - n <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall remain in effeet until <br />If yort enter in or use any City of EL11.1ene park, open space or facility during the effective period of this Notice, you may be <br />arrested and charued with crinnnal 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. A request for an <br />informal hearing must be rnade 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 followin g address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Director shall schedule as time and place for the informal hearing to be conducted, which shall be not more than <br />72 hours (exclusive of weekends) of'receipt ofthe request for hearing. At the firl'ormal 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 nray exclude anyone, other than you and those Presenting testimony, from the inforit 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 th by: <br />(Signature of person ISsLkjng/defiverhig notice) <br />I hereby acknowledge receipt of flie above Notice on the date and time indicated above, <br />(Signature of person bein issued the noiice) <br />1 0 - <br />Wluw 4 okay. PkflJrc. Work GE'ell Copyl File Yellwa Copy. Repori ( opy Pink ( o . R,,cipieril Gold C opy: Officel Ajlpc.fl nonce Re 040", <br />Name: Last Firsi Middle <br />I)W <br />C LELP4 UbJeS <br />kdAA, <br />Res. Address: Cilv <br />State Zip <br />Res Phone <br />Work Phone: <br />Girder= the authoritv of Administrative Order No. 58-03-24-F and Park and Open Space Rule 1 -L005(3), you are herel)v <br />notified that you are prohibited from (check box): <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />19 <br />The basis for t h i s Notice of Restricti on of Use is that on you violated Section _`Z_ t ofthellark <br />and Open Space lWes, and/or Section of the Eugene Code, 1971, and/or OR To will, you:. __ <br />L-> <br />J�L - n <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall remain in effeet until <br />If yort enter in or use any City of EL11.1ene park, open space or facility during the effective period of this Notice, you may be <br />arrested and charued with crinnnal 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. A request for an <br />informal hearing must be rnade 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 followin g address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Director shall schedule as time and place for the informal hearing to be conducted, which shall be not more than <br />72 hours (exclusive of weekends) of'receipt ofthe request for hearing. At the firl'ormal 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 nray exclude anyone, other than you and those Presenting testimony, from the inforit 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 th by: <br />(Signature of person ISsLkjng/defiverhig notice) <br />I hereby acknowledge receipt of flie above Notice on the date and time indicated above, <br />(Signature of person bein issued the noiice) <br />1 0 - <br />Wluw 4 okay. PkflJrc. Work GE'ell Copyl File Yellwa Copy. Repori ( opy Pink ( o . R,,cipieril Gold C opy: Officel Ajlpc.fl nonce Re 040", <br />