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LOCATION (PARK/OPEN S1
<br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005t3), you are hereby
<br />notified that you are prohibited from (check box).
<br />'$L Entering in or using all City of Eugene parks, open spaces or facilities.
<br />0
<br />The basis for this Notice of Restriction of Use is that on you violated Section ofthePark-
<br />and Open Space Rules, and/or Section " 1111 of the Eugene Code, 1,971, and/or ORS To wit, you:
<br />(Description of the violation.)
<br />This restriction of use is effective beginning on and shall remain in effect until — A"
<br />If you enter in Or Use any City of Lugene park, open space or facility during the effective period of this Notice, you may be
<br />an and charged with criminal trespass in the second degree,
<br />PUrsuant to Park and Open Space Rule R- 1 .()74 you are entitled to an informal hearing to contest this Notice, A request fear ,art
<br />informal hearing must be made in writin and filed with the Parks & Open Space Division Director ("the Division Director")
<br />witi 48 hours (exclusive of weekends) ofreccipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR
<br />97402.
<br />The Division Director shall schedule a time and place for the int"ortnal hearing to be conducted, which shall be not more tNan
<br />72 hour; (CUILIMC of weekends) ofreceipt of the request, kw hearing. At the informal hearing the Division Director will only
<br />consider testin from you, City personnel involved in the incident that resulted in hit Notice, and other witnesses to the
<br />incident, The Division Director niay exclude anyone, other than you and those presenting testimony, from the informal hearing,
<br />This Notice shall remain in effect pending any requested hearing®
<br />This Notice ol'Exclusion was delivered to the person named at 111c top of this e at the date and time shown above by:
<br />- ---- -------
<br />aAUM Ofp issuing/defivering, notice)
<br />I hereby acknowledge reccipt of the above Notice on the date and tirne indicated above.
<br />issued the notice)
<br />Whae Copy: Purdw Work, 0" en('opy� 1 le Ydh)'N Copy: Repol I ( opy Pink 4 `sop y Rccipient 0qd Offliccr Appeal nmicc Re''
<br />Maine: Last First" I kiffle
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<br />Res. Address: City
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<br />Res . Phone:
<br />Work Plione:
<br />A) Ln
<br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005t3), you are hereby
<br />notified that you are prohibited from (check box).
<br />'$L Entering in or using all City of Eugene parks, open spaces or facilities.
<br />0
<br />The basis for this Notice of Restriction of Use is that on you violated Section ofthePark-
<br />and Open Space Rules, and/or Section " 1111 of the Eugene Code, 1,971, and/or ORS To wit, you:
<br />(Description of the violation.)
<br />This restriction of use is effective beginning on and shall remain in effect until — A"
<br />If you enter in Or Use any City of Lugene park, open space or facility during the effective period of this Notice, you may be
<br />an and charged with criminal trespass in the second degree,
<br />PUrsuant to Park and Open Space Rule R- 1 .()74 you are entitled to an informal hearing to contest this Notice, A request fear ,art
<br />informal hearing must be made in writin and filed with the Parks & Open Space Division Director ("the Division Director")
<br />witi 48 hours (exclusive of weekends) ofreccipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR
<br />97402.
<br />The Division Director shall schedule a time and place for the int"ortnal hearing to be conducted, which shall be not more tNan
<br />72 hour; (CUILIMC of weekends) ofreceipt of the request, kw hearing. At the informal hearing the Division Director will only
<br />consider testin from you, City personnel involved in the incident that resulted in hit Notice, and other witnesses to the
<br />incident, The Division Director niay exclude anyone, other than you and those presenting testimony, from the informal hearing,
<br />This Notice shall remain in effect pending any requested hearing®
<br />This Notice ol'Exclusion was delivered to the person named at 111c top of this e at the date and time shown above by:
<br />- ---- -------
<br />aAUM Ofp issuing/defivering, notice)
<br />I hereby acknowledge reccipt of the above Notice on the date and tirne indicated above.
<br />issued the notice)
<br />Whae Copy: Purdw Work, 0" en('opy� 1 le Ydh)'N Copy: Repol I ( opy Pink 4 `sop y Rccipient 0qd Offliccr Appeal nmicc Re''
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