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<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 0ty of Eugene parks, open spaces, or facilities.
<br />a
<br />The basis for this Notice off trietiorr of is that on 1 -)-7/ L
<br />You violated Section 2'-'�f the, P11
<br />. .. . .... ------
<br />and Open Space Rules, and"'or Section I-,,--------- of the Eugene Code, 1971, and" ORS To wit, V()Ll
<br />(Description of the violafion,)
<br />a e as
<br />This restriction of use is effective beginning on and shall remain in effect until
<br />If' you enter in or rise any City offrigene park, open space or tecility during the effextive period of this Notice, you may 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 foran
<br />informal hearing rnus[ be made in writing and filed with the Parks & Open Space Division Director ("the Division Director")
<br />within 48 hours (exclusive ol'weekends) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR
<br />97402.
<br />The Division Director shall schedule as brae and place for the fifl'onrial hearing to be conducted, which shall be riol snore than
<br />72 hours (exclusive of weekends) ofreceipt ofthe request for hearing. At the ink)rnial hearing the Division Director will only
<br />considcr testimony frorn you, City personnel involved in the incident that reSLilted In this Notice, and other witnesses to the
<br />incident, The Division Director rrwy exclude anyone, other than you and those presenting testimony, from the inforn l hearing.
<br />This Notice shall remain in effect pending any requested hearing.
<br />This Notice of Fxclusion was delivered to the person named at tire top ofthis Notice as . the date and orrre shown above by�
<br />— — - – - - ------- --------
<br />of Iwi issuing/delivering notice)
<br />9 7
<br />s i 1 '� Ln e
<br />I hereby acknowledge receipt of the above Notice on the, date and th indicated above.
<br />S 1, 9 reo, persca r eing issued thenoi
<br />WhacCo1w Puhlic Wmk, Glee n(klpy: Fik Ydlom Copy- RqpmE Copy Pink CojjT : Recipwill €4 )]d ( op y: Offilcer App'?A nu icu Rev 041A '
<br />Name: La�l F i Midffle
<br />DOB
<br />Race"Sex:
<br />u.
<br />[Zes. Addre s: City State
<br />Zip
<br />Res, Phone:
<br />Work Pfrone:
<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 0ty of Eugene parks, open spaces, or facilities.
<br />a
<br />The basis for this Notice off trietiorr of is that on 1 -)-7/ L
<br />You violated Section 2'-'�f the, P11
<br />. .. . .... ------
<br />and Open Space Rules, and"'or Section I-,,--------- of the Eugene Code, 1971, and" ORS To wit, V()Ll
<br />(Description of the violafion,)
<br />a e as
<br />This restriction of use is effective beginning on and shall remain in effect until
<br />If' you enter in or rise any City offrigene park, open space or tecility during the effextive period of this Notice, you may 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 foran
<br />informal hearing rnus[ be made in writing and filed with the Parks & Open Space Division Director ("the Division Director")
<br />within 48 hours (exclusive ol'weekends) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR
<br />97402.
<br />The Division Director shall schedule as brae and place for the fifl'onrial hearing to be conducted, which shall be riol snore than
<br />72 hours (exclusive of weekends) ofreceipt ofthe request for hearing. At the ink)rnial hearing the Division Director will only
<br />considcr testimony frorn you, City personnel involved in the incident that reSLilted In this Notice, and other witnesses to the
<br />incident, The Division Director rrwy exclude anyone, other than you and those presenting testimony, from the inforn l hearing.
<br />This Notice shall remain in effect pending any requested hearing.
<br />This Notice of Fxclusion was delivered to the person named at tire top ofthis Notice as . the date and orrre shown above by�
<br />— — - – - - ------- --------
<br />of Iwi issuing/delivering notice)
<br />9 7
<br />s i 1 '� Ln e
<br />I hereby acknowledge receipt of the above Notice on the, date and th indicated above.
<br />S 1, 9 reo, persca r eing issued thenoi
<br />WhacCo1w Puhlic Wmk, Glee n(klpy: Fik Ydlom Copy- RqpmE Copy Pink CojjT : Recipwill €4 )]d ( op y: Offilcer App'?A nu icu Rev 041A '
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