LOCATION (PARK1/0Pl'. SPA C L) <br />Under the authority of Ad min istrative Order No. 58-03-24-F amid Parka nd Open Space Rule R-1.00513'1, you are hereby <br />notified that you are prohibited from (check box): <br />/0 Entering in or using all City of Eugene parks, open spaces or facilities. <br />The basis for this Notice of'Restriction of is that on A you violated Sec 4 )_ tion / Qi 14 of the Park <br />/ _0 <br />arid Open Space Rules, and/or Sectionj,ORS To wit, yow <br />q0_ of the Eugene Code, 1 97 1 , andioi <br />,k f f rUAA, 0q (&j MZ 1 <br />tDescription of the viokation.) <br />This restriction of use is effective beginning on 11/a6/2U4 , remit shall remain in effect until L2_10 <br />If you enter in or use any City Of' F 1),arl<, open space orfiacifity during the effective period offfijs Notice, you riiay be <br />arrested and charged with crin trespass in the second degree. <br />Pursuan to Park and Open Space Rule R - you are eri tit I ed to an informal licaring to contest this Not ice, A request roralt <br />informal hearing triust be made in writing and filed with the Parks & Open Space Division Director (' Division Director") <br />wnhin48 hours {cxchisive of7weekends) of'receiptofthis Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />97401 <br />The Division Director shall schedule a time and place f6r the informal hearing to be conducted, which shall be not rnore than <br />72 hours (exclusive ot'wwcckends) of receipt of the request for hearing, At the inforrrial hearing the Division Director wfill only <br />consider testimony frorn you, City personnel involved in the incident that restifted in this Notice, and other witnesses to the <br />incident, The Division Director mav exclude anvone, Other than vou arid those presenting lestirnony, frorn the inrorn hear inn <br />This Notice shall remain in effect pending any requested hearing, <br />This Notice cif Excluslon was delivered to the person narned at the top (if this Notice at the date and time shown above by: <br />- --- ------------- <br />(Signature of perscin issuin,g/defivering rionce) <br />t� <br />I hereby acknoMedgc receipt ofthe above Notice on the (Late arid tune - Indicated above. <br />(Signature of person being issued the nonce) <br />,71 <br />;gluts ( opv: Public Work FzEc Y,�Ihm ( opy Rqroo ( op) 'ml Copy Recipiew realm Copy� Oflio,_-r Ajjpc d nonce R _-% , 0 W <br />Mmw: Last First Middle <br />DOR <br />- <br />Res, A (IdVe N` ii <br />' y <br />State <br />i p <br />L-71; <br />Pho ne: <br />��111, - - _ ---- <br />W ork Phone: <br />Under the authority of Ad min istrative Order No. 58-03-24-F amid Parka nd Open Space Rule R-1.00513'1, you are hereby <br />notified that you are prohibited from (check box): <br />/0 Entering in or using all City of Eugene parks, open spaces or facilities. <br />The basis for this Notice of'Restriction of is that on A you violated Sec 4 )_ tion / Qi 14 of the Park <br />/ _0 <br />arid Open Space Rules, and/or Sectionj,ORS To wit, yow <br />q0_ of the Eugene Code, 1 97 1 , andioi <br />,k f f rUAA, 0q (&j MZ 1 <br />tDescription of the viokation.) <br />This restriction of use is effective beginning on 11/a6/2U4 , remit shall remain in effect until L2_10 <br />If you enter in or use any City Of' F 1),arl<, open space orfiacifity during the effective period offfijs Notice, you riiay be <br />arrested and charged with crin trespass in the second degree. <br />Pursuan to Park and Open Space Rule R - you are eri tit I ed to an informal licaring to contest this Not ice, A request roralt <br />informal hearing triust be made in writing and filed with the Parks & Open Space Division Director (' Division Director") <br />wnhin48 hours {cxchisive of7weekends) of'receiptofthis Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />97401 <br />The Division Director shall schedule a time and place f6r the informal hearing to be conducted, which shall be not rnore than <br />72 hours (exclusive ot'wwcckends) of receipt of the request for hearing, At the inforrrial hearing the Division Director wfill only <br />consider testimony frorn you, City personnel involved in the incident that restifted in this Notice, and other witnesses to the <br />incident, The Division Director mav exclude anvone, Other than vou arid those presenting lestirnony, frorn the inrorn hear inn <br />This Notice shall remain in effect pending any requested hearing, <br />This Notice cif Excluslon was delivered to the person narned at the top (if this Notice at the date and time shown above by: <br />- --- ------------- <br />(Signature of perscin issuin,g/defivering rionce) <br />t� <br />I hereby acknoMedgc receipt ofthe above Notice on the (Late arid tune - Indicated above. <br />(Signature of person being issued the nonce) <br />,71 <br />;gluts ( opv: Public Work FzEc Y,�Ihm ( opy Rqroo ( op) 'ml Copy Recipiew realm Copy� Oflio,_-r Ajjpc d nonce R _-% , 0 W <br />