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LOCATION (I'WiK`OPLN SPACE) K <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 froin (check box): <br />0 Entering in or using all City of Eugene parks, open spaces or facilities. <br />V <br />'Description of the violation.) 'fl/4`1 <br />Phis restriction of use is effective beginning on and shall remain in effeet until <br />If you enter in or use any City of Eugene park, open space or lacility during the effective period of this Notice, you may be <br />arrested and chanred with criminal trespass in the second degree. <br />Pursuant to Park and Open Space Rule R- 1.074 you are entitled to an infiorn hearing to contest this Notice, A requesi tow all <br />informal hearing to 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 Following address, 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />'rhe Division Director shall schedule a tintic and place Im the informal hearing to Inc, conducted, which shall be not more than <br />72 hours (exclusive ol'weekends) ofreccipt ofthe request for hearing. At the infornial hearing the Division Director will only <br />consider tes-lityrony frorn you, City personnel involved in the incident that: resulted in this Notice, and other witnesses do the <br />incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the inforrrial 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 >No6c t 11t- Jou - a d fi l above by� <br />Cil now n <br />of person issning/defivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above, <br />(Signature of person being issued the notice) <br />White ( opy. Public Work Green top-, File YcHow C opyl Rejwn ( opy Pink (,'Lpy` Rwipiem bold Copy: Oflnxv Appwal nooice Rey , 04103 <br />Naine Last First <br />Middle <br />1)014: <br />'0", <br />6 k /I,. <br />1 w <br />ov Res, Address: c <br />State <br />Zip <br />Res. Phone: <br />7v, <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 froin (check box): <br />0 Entering in or using all City of Eugene parks, open spaces or facilities. <br />V <br />'Description of the violation.) 'fl/4`1 <br />Phis restriction of use is effective beginning on and shall remain in effeet until <br />If you enter in or use any City of Eugene park, open space or lacility during the effective period of this Notice, you may be <br />arrested and chanred with criminal trespass in the second degree. <br />Pursuant to Park and Open Space Rule R- 1.074 you are entitled to an infiorn hearing to contest this Notice, A requesi tow all <br />informal hearing to 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 Following address, 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />'rhe Division Director shall schedule a tintic and place Im the informal hearing to Inc, conducted, which shall be not more than <br />72 hours (exclusive ol'weekends) ofreccipt ofthe request for hearing. At the infornial hearing the Division Director will only <br />consider tes-lityrony frorn you, City personnel involved in the incident that: resulted in this Notice, and other witnesses do the <br />incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the inforrrial 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 >No6c t 11t- Jou - a d fi l above by� <br />Cil now n <br />of person issning/defivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above, <br />(Signature of person being issued the notice) <br />White ( opy. Public Work Green top-, File YcHow C opyl Rejwn ( opy Pink (,'Lpy` Rwipiem bold Copy: Oflnxv Appwal nooice Rey , 04103 <br />