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Under the authority of Administrative Order No. - 03_24 - and Park Land Open Space nle R-1.005(3),you are here by <br />notified that you are prohibited from (check box): <br />X Entering in or using all City of Eugene parks, open spaces or facilities. <br />0 <br />'['he basis 6or this Notice of Restriction of Use is tNat on you violated Section L-0--lo(Wofthe Park <br />and Open Space Rules, and/or Section of the Eugene Co de, 197l , randier ORS 'ro wit, vou: <br />-T P m K <br />(Description of the violation,) <br />PursLiant to Park and Open Space Role R - you are, entitled to an informal hearing to contest this Notice, A request for an <br />informal hearing must be made in writing and filed with [lie Parks & Open Space Division Director ("the Division Director <br />%vithin 48 hours (CXCIUSIVe of weekends) of receipt of this Notice at the to] lowing address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Director shall schedule a time and place Im the informal hearing to be conducted. which shall be not tnore than <br />72 hours (exclusive of weekends) oCreceipt of the request for hearing. At the infornial hearing the Division Director wdt only <br />consider testimony f rorn VOU, C'Ity personnel involved in the incident that resulted in this Notice, and ofl witnesses to the <br />incident, The Dig i sion Director may eXCI Ude anyone, other than you and those presenting testimon from the informal hearing. <br />This Notice shall remain in effect pending, any requested hearing. <br />'['his Notice of Exclusion was dchvered to the person earned at the top of this i at the date and aerie shown lobo by: <br />. ........... --- - ----- <br />ature of person il,"Ming/ deli vering notice) <br />I hereby acknowledge receipt of the above Not on the date and tin-le indicated above. <br />(Signature of person being ISSUed the nolice) <br />Whiw Copy, Public Woik� (11"11 C opyl 1 ite Yel[ow Copy: Rcpod Copy Pink Copy: Recipiew Goh] Copy: Offiice Aj-',po:d noticc <br />Nanic Last F i rsI Mi(Idle <br />D0 B <br />R'We,"s X <br />0/ 1 JAI <br />Res- Address: ("RV State Zip <br />Res, Phone: <br />Under the authority of Administrative Order No. - 03_24 - and Park Land Open Space nle R-1.005(3),you are here by <br />notified that you are prohibited from (check box): <br />X Entering in or using all City of Eugene parks, open spaces or facilities. <br />0 <br />'['he basis 6or this Notice of Restriction of Use is tNat on you violated Section L-0--lo(Wofthe Park <br />and Open Space Rules, and/or Section of the Eugene Co de, 197l , randier ORS 'ro wit, vou: <br />-T P m K <br />(Description of the violation,) <br />PursLiant to Park and Open Space Role R - you are, entitled to an informal hearing to contest this Notice, A request for an <br />informal hearing must be made in writing and filed with [lie Parks & Open Space Division Director ("the Division Director <br />%vithin 48 hours (CXCIUSIVe of weekends) of receipt of this Notice at the to] lowing address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Director shall schedule a time and place Im the informal hearing to be conducted. which shall be not tnore than <br />72 hours (exclusive of weekends) oCreceipt of the request for hearing. At the infornial hearing the Division Director wdt only <br />consider testimony f rorn VOU, C'Ity personnel involved in the incident that resulted in this Notice, and ofl witnesses to the <br />incident, The Dig i sion Director may eXCI Ude anyone, other than you and those presenting testimon from the informal hearing. <br />This Notice shall remain in effect pending, any requested hearing. <br />'['his Notice of Exclusion was dchvered to the person earned at the top of this i at the date and aerie shown lobo by: <br />. ........... --- - ----- <br />ature of person il,"Ming/ deli vering notice) <br />I hereby acknowledge receipt of the above Not on the date and tin-le indicated above. <br />(Signature of person being ISSUed the nolice) <br />Whiw Copy, Public Woik� (11"11 C opyl 1 ite Yel[ow Copy: Rcpod Copy Pink Copy: Recipiew Goh] Copy: Offiice Aj-',po:d noticc <br />