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Under the author t of Administrativ e 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 />ri <br />The basis for this Notice of Restriction of Use is that on Y001Vi0latCdSCCti0rt_A of the Park <br />and Open Space Rules, and,/ or Section of the Eugene Code, 1971, and/or ORS; <br />To wit, yotu <br />IP-1) <br />This restriction of use is effective beginning on -laye _(1 and shall remain in effect until <br />If YOU enter in or usc any City of EL.I gene park, open space or facility during the effective period of this Notice, you firay be <br />arrested and charged with erinunal trespass in the second degree. <br />Pursuant to Park and Open Space Rule R-1.074 you are entitled to an inl1armal 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 1`61lowing address: 1820 Roosevelt, Blvd, Eugene, OR <br />97402. <br />The Division Director shall schedule a time and place lor the Hfl'6rinal hearing to be conducted, which shall be not more than <br />7- hours texclusive of weekends) Cal" receipat of the 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. 'I he Division 1) i rector inay eXCI Ude anyone, other than you and those presenting testi nion y, honir the informal hear in <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of Exclusion was defivered to the person narried at the top of this N tirade shown above by <br />a, the " <br />of person issuing/Mivering nori6ce) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />Whiie ( opy Public Work, (ile"mCupy: hie yellov. Copy Repot Copy <br />j <br />(Signature of person beiri P"Lied the notice) <br />I <br />Pirik C opy: Rccip cm Gold Cupy: (Alin el Appe�ftl notw Rn 04103' <br />(Description of the violatiom) <br />Fix` Middle <br />Te A_io � <br />I D013: <br />R acs /s I X� <br />Z4 0 <br />6 <br />0� <br />CK� <br />Re�, Addre ��L City <br />suate <br />Zip <br />Res. Phone: <br />Work Phone: <br />/ K" <br />_j <br />Under the author t of Administrativ e 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 />ri <br />The basis for this Notice of Restriction of Use is that on Y001Vi0latCdSCCti0rt_A of the Park <br />and Open Space Rules, and,/ or Section of the Eugene Code, 1971, and/or ORS; <br />To wit, yotu <br />IP-1) <br />This restriction of use is effective beginning on -laye _(1 and shall remain in effect until <br />If YOU enter in or usc any City of EL.I gene park, open space or facility during the effective period of this Notice, you firay be <br />arrested and charged with erinunal trespass in the second degree. <br />Pursuant to Park and Open Space Rule R-1.074 you are entitled to an inl1armal 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 1`61lowing address: 1820 Roosevelt, Blvd, Eugene, OR <br />97402. <br />The Division Director shall schedule a time and place lor the Hfl'6rinal hearing to be conducted, which shall be not more than <br />7- hours texclusive of weekends) Cal" receipat of the 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. 'I he Division 1) i rector inay eXCI Ude anyone, other than you and those presenting testi nion y, honir the informal hear in <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of Exclusion was defivered to the person narried at the top of this N tirade shown above by <br />a, the " <br />of person issuing/Mivering nori6ce) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />Whiie ( opy Public Work, (ile"mCupy: hie yellov. Copy Repot Copy <br />j <br />(Signature of person beiri P"Lied the notice) <br />I <br />Pirik C opy: Rccip cm Gold Cupy: (Alin el Appe�ftl notw Rn 04103' <br />(Description of the violatiom) <br />