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Under the authoritvol'Administrative Order No. 58-03-24-F a nd Parka nd Open Space Rule R-1.005(3), you are herebv
<br />notified that you are prohibited from (check box):
<br />Enterin J err rrsln gill Citv of E,u - s, open spaces or facilities.
<br />The basis for this Notice of Restriction of Use is that on A), t5_1 �( . .. ....... ...... . . you violated Section ofthe Flai
<br />and 0pen Space Rules, and"or Section of the Eugene Code, 1971 . and/or ORS LR To Wit, You
<br />(T tt,9-4;7
<br />(Description of the violatloji,)
<br />This restriction of use is effective beginning on / and shall remain in effeet until
<br />If you enter in or use dny City of ugerre park, open space or facillIV during the eflMlve pmod of this Notice, you nmy he
<br />arrested ar,0 charged wifl cruninal trespass In the second degree.
<br />Pursuant to Park and Olacn Space Rule R- 1.071 you are entitled to an informal hearing to contest this Notice. A request for an
<br />inforiml hearing ri 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 />The Division Director shall schedule as time and place for the informal hearing to be con(lucted, which shall be riot inme than
<br />72 hours (exclusive ofweekends) 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 incident that resulted in this Notice, and other witnesses io the
<br />incident, The Division Directorniiycxcit,i(leajiyone,othci rind tliosel:)r - esciitiii�ytest,iii - ioi - iy,t, - 'rorii tare illl'orniziI hearing
<br />This Notice shall remain in effect pending any requested hearing.
<br />This Notice ol'Exclusion was delivered to the person manned at [lie top of this><Icc at the date and time shown above by:
<br />rVhile Cop Pubh' work's Ca"" °n Copy� Ffl,2 yellwa (op y Report Copv Pink Coryv: Recipiem Gv[d (opv: oHlicer Appeal noti, e Rc, 41w
<br />Mwie� Last First Middle
<br />DO B:
<br />" "e S ex
<br />Res. Addre� City state Zip
<br />Res- PlIone:
<br />Work rP one,
<br />Under the authoritvol'Administrative Order No. 58-03-24-F a nd Parka nd Open Space Rule R-1.005(3), you are herebv
<br />notified that you are prohibited from (check box):
<br />Enterin J err rrsln gill Citv of E,u - s, open spaces or facilities.
<br />The basis for this Notice of Restriction of Use is that on A), t5_1 �( . .. ....... ...... . . you violated Section ofthe Flai
<br />and 0pen Space Rules, and"or Section of the Eugene Code, 1971 . and/or ORS LR To Wit, You
<br />(T tt,9-4;7
<br />(Description of the violatloji,)
<br />This restriction of use is effective beginning on / and shall remain in effeet until
<br />If you enter in or use dny City of ugerre park, open space or facillIV during the eflMlve pmod of this Notice, you nmy he
<br />arrested ar,0 charged wifl cruninal trespass In the second degree.
<br />Pursuant to Park and Olacn Space Rule R- 1.071 you are entitled to an informal hearing to contest this Notice. A request for an
<br />inforiml hearing ri 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 />The Division Director shall schedule as time and place for the informal hearing to be con(lucted, which shall be riot inme than
<br />72 hours (exclusive ofweekends) 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 incident that resulted in this Notice, and other witnesses io the
<br />incident, The Division Directorniiycxcit,i(leajiyone,othci rind tliosel:)r - esciitiii�ytest,iii - ioi - iy,t, - 'rorii tare illl'orniziI hearing
<br />This Notice shall remain in effect pending any requested hearing.
<br />This Notice ol'Exclusion was delivered to the person manned at [lie top of this><Icc at the date and time shown above by:
<br />rVhile Cop Pubh' work's Ca"" °n Copy� Ffl,2 yellwa (op y Report Copv Pink Coryv: Recipiem Gv[d (opv: oHlicer Appeal noti, e Rc, 41w
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