LOCATION (PARK/OPEN SPA('E):____( <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 from (check box). <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />0 <br />The basis for this Notice of'Restriction of tJse is that can jL_Lw5 - 4q_ _ you violated Section,/_ � ofthey Park <br />___2C _ _ ............ <br />and Open Space Rules, and/or Section of the Eugene Code, 1971, and/or ORS To wit. Vot'r <br />-774— 1 411 <br />(Description of the violation.) <br />'rhis restriction of use is effective beginning on 11 — jzi4 , and shall remain in effect until <br />If vou enter In or use any City of' Eugene park, open space oi f "acility during 1he effective period of this Notice, you njay 1-2e <br />arrested and charged with criminal trespass in the second degree. <br />Pursuant it) Park and Open Space Rule R-1,074 you are entitled to zin informal hearing to contest this Notice. Aiequcstforart <br />informal hearing must 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, Oil <br />97402. <br />The Division Director shall schedule a time and place for the informal hearing to be conducted, which shall be not more than <br />72 hours (exclusive of weekends) of receipt of the request for hearing. At the informal hearing the Division Director will only <br />consider testiniony firoin you, City personnel involved in the incident that resulted fit this Notice, and other witnesses to the <br />incident, The Division Director inay exclude anvone, other than you and those Presenting test imorty, from the informal hearling. <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of'Exclusion was delivered to the person narned at the top cif this; Notice at the date and tin shown above by: <br />(Signature of person issuing,"delivering notice) <br />I hereby ack-no wledt receipt of the above Notice on the date and time indicated above, <br />ge <br />(Signature of person being issued the riot ce) <br />Whii,, ( opy Pubfic 'Koik, GrCen Filc Yd low CkTv Rcport NIA Rmpient Gold Cop: 01 ficer Appo�d IhIlic"' (51 <br />OVY11111 V) <br />Nlalne Lnst Fir�� <br />00H <br />; ne <br />Res. Addy Cj Y <br />su <br />1 <br />Zip <br />Res, Phone: <br />Work Phone: <br />P�67_ - ze, <br />-7 gea 4 <br />ole <br />1 04 <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 from (check box). <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />0 <br />The basis for this Notice of'Restriction of tJse is that can jL_Lw5 - 4q_ _ you violated Section,/_ � ofthey Park <br />___2C _ _ ............ <br />and Open Space Rules, and/or Section of the Eugene Code, 1971, and/or ORS To wit. Vot'r <br />-774— 1 411 <br />(Description of the violation.) <br />'rhis restriction of use is effective beginning on 11 — jzi4 , and shall remain in effect until <br />If vou enter In or use any City of' Eugene park, open space oi f "acility during 1he effective period of this Notice, you njay 1-2e <br />arrested and charged with criminal trespass in the second degree. <br />Pursuant it) Park and Open Space Rule R-1,074 you are entitled to zin informal hearing to contest this Notice. Aiequcstforart <br />informal hearing must 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, Oil <br />97402. <br />The Division Director shall schedule a time and place for the informal hearing to be conducted, which shall be not more than <br />72 hours (exclusive of weekends) of receipt of the request for hearing. At the informal hearing the Division Director will only <br />consider testiniony firoin you, City personnel involved in the incident that resulted fit this Notice, and other witnesses to the <br />incident, The Division Director inay exclude anvone, other than you and those Presenting test imorty, from the informal hearling. <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of'Exclusion was delivered to the person narned at the top cif this; Notice at the date and tin shown above by: <br />(Signature of person issuing,"delivering notice) <br />I hereby ack-no wledt receipt of the above Notice on the date and time indicated above, <br />ge <br />(Signature of person being issued the riot ce) <br />Whii,, ( opy Pubfic 'Koik, GrCen Filc Yd low CkTv Rcport NIA Rmpient Gold Cop: 01 ficer Appo�d IhIlic"' (51 <br />