LOCATION (PARK/OPFN SPM-I'E)� <br />Under the authority ofAdministrative Order No. 58-03-24-F and Park and Open Space Rule 11-1.005(3), you are hereby <br />notified that you are prohibited from (check box): <br />Entering in or using all City (if Eugene parks, open spaces or facilities. <br />The basis for this Notice of'Restriction of Use is that on ' you violated Section L of the Park <br />and Open Space Rules, and/or Section of the Fugene Ciede, 1971, and/or ORS To wit, yoii:---,,— <br />01L <br />(Description of the violation.) <br />'nits restriction of use is effective beginning on jDAQ-C , and shall remain in effect until <br />ll'you enter in or use any City of Eugene park, open space or facility during the effective period of this Notice, Vole inay be <br />arrested and charged with criminal 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 111Ust be made in writing and filed with the Parks & Open Space Division Director ("the Division Director <br />within 49 hours (exclusive of weekends) oftecelpt of this Notice at the 1`611owing address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Director shall schedule as tirne and place for the Infortrial hearing to be condUcted, which shall be not rnore than <br />71 hours (exclusive of weekends) of receipt of the request for hearing. At the infornial hearing the Divisaon Director will only <br />Consider testin from you, C ity personnel involved in the incident that restilted in this Notice, and other witnesses to the <br />incident. The Division Director inay exclude anyone, other than you and those presenting testimony, from the infortital hearla.", <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice ofF.'xcluslon was delivered to the person renned at the top of this I , ice at [Inc date and ifflie sho wn above bv: <br />"ce <br />S 9 <br />I, L O - 11 V <br />i -n� f PC son isstung, nolice) <br />I hereby acknow1ecL- receipt of the above Notice on the (Lite and tinie indica: tee above, <br />elng <br />'Whi ( Ili hfic Woj k (ifeen ( upy: I- , lie ytaAiw�% Copyl helot 4 opy Nnk Copy: Rccipwrl Gold 4 opy� OM�cci Appe.fl nohe Rlev, 04,f)3 <br />Nam Lasa Fina Nfiddle <br />�-s u <br />DOB: <br />0 7) 0 7 b <br />Race "Sex: <br />Res. Address� City <br />State <br />Zip <br />Res. Phone <br />Work Phtm <br />Under the authority ofAdministrative Order No. 58-03-24-F and Park and Open Space Rule 11-1.005(3), you are hereby <br />notified that you are prohibited from (check box): <br />Entering in or using all City (if Eugene parks, open spaces or facilities. <br />The basis for this Notice of'Restriction of Use is that on ' you violated Section L of the Park <br />and Open Space Rules, and/or Section of the Fugene Ciede, 1971, and/or ORS To wit, yoii:---,,— <br />01L <br />(Description of the violation.) <br />'nits restriction of use is effective beginning on jDAQ-C , and shall remain in effect until <br />ll'you enter in or use any City of Eugene park, open space or facility during the effective period of this Notice, Vole inay be <br />arrested and charged with criminal 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 111Ust be made in writing and filed with the Parks & Open Space Division Director ("the Division Director <br />within 49 hours (exclusive of weekends) oftecelpt of this Notice at the 1`611owing address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Director shall schedule as tirne and place for the Infortrial hearing to be condUcted, which shall be not rnore than <br />71 hours (exclusive of weekends) of receipt of the request for hearing. At the infornial hearing the Divisaon Director will only <br />Consider testin from you, C ity personnel involved in the incident that restilted in this Notice, and other witnesses to the <br />incident. The Division Director inay exclude anyone, other than you and those presenting testimony, from the infortital hearla.", <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice ofF.'xcluslon was delivered to the person renned at the top of this I , ice at [Inc date and ifflie sho wn above bv: <br />"ce <br />S 9 <br />I, L O - 11 V <br />i -n� f PC son isstung, nolice) <br />I hereby acknow1ecL- receipt of the above Notice on the (Lite and tinie indica: tee above, <br />elng <br />'Whi ( Ili hfic Woj k (ifeen ( upy: I- , lie ytaAiw�% Copyl helot 4 opy Nnk Copy: Rccipwrl Gold 4 opy� OM�cci Appe.fl nohe Rlev, 04,f)3 <br />