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1-0CWHON (PARKi01 SPA(-',TT I,)/-- PARVe,
<br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule fit - 1.005( , you are hereby
<br />notified that you are prohibited from (check box):
<br />Entering in or using all City of Lugene parks, open spaces or facilities.
<br />El
<br />The basis for this Notice of Restriction of Lfse is that on A1 Y, violated Section of the Park
<br />and Open Space Rules, and,'or Section of the Eugene (,-'o(Ic,, 1971, and/or ORS 11---,--,-------,, 'ro Wit, YOLF
<br />Ab2ui - rt-6-e
<br />. . .........
<br />(Description ofthe violation.)
<br />This restriction of use is effective beginning on and shall remain in effect until
<br />If you enter in or use any City oi Eugene park, open space or facility &H the effective period of this Notice, VOLI may be
<br />arrested and charged with criminal trespass in the second degree.
<br />Pursuant to Park and Open Space Rule R- 1 .074 VOU are entitled to an infon hearing to contest [his Notice. A request I -- or ail
<br />informal hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Director")
<br />within 48 11OUrS (MIUSiVC of'weekends) of receipt ofthis Notice at the following address. 1820 Roosevelt, Blvd., Eugene, OR
<br />97401
<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 hCRU (CXCILISiVe of weekends) of receipt of the request l'or hearing, At the informal hearing the Division Director will only
<br />consider testimony frorn you, City personnel involved in the incident that resulted In this Notice, and offier witnesses to the
<br />incident, The Div is lon Director rnay exclude anyone, other than you Zind those prese n I Ing test hriony, t'ron the i riforn-lal hearing
<br />This Notice shall remain in effect pending any requested hearing.
<br />This'Nolice oil' Exclusion was delivered to the person named at the top of this Notice at the date and tirt shown above by:
<br />(Signature of person ik.1 notice;)
<br />I hereby acknowledge receipt of the above Notice on the date and time indicated above,
<br />(Signature of person being issued the notice)
<br />Mllte Copy: Publi, wurk� Green Copy: HIC' Yello\, yore : Rcpoll Copy Pink Cop Recipiem Gold Copy: OfficcR Appeal notice
<br />Hn I fW
<br />Name: Laq Middle
<br />DOB:
<br />Racc
<br />Rob 4- - I LI 45 z - Ti 4 c, c, &I-IAI
<br />67 oz
<br />Res, Address: City
<br />State
<br />zip
<br />Res� Plione:
<br />Work Phone:
<br />............ .
<br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule fit - 1.005( , you are hereby
<br />notified that you are prohibited from (check box):
<br />Entering in or using all City of Lugene parks, open spaces or facilities.
<br />El
<br />The basis for this Notice of Restriction of Lfse is that on A1 Y, violated Section of the Park
<br />and Open Space Rules, and,'or Section of the Eugene (,-'o(Ic,, 1971, and/or ORS 11---,--,-------,, 'ro Wit, YOLF
<br />Ab2ui - rt-6-e
<br />. . .........
<br />(Description ofthe violation.)
<br />This restriction of use is effective beginning on and shall remain in effect until
<br />If you enter in or use any City oi Eugene park, open space or facility &H the effective period of this Notice, VOLI may be
<br />arrested and charged with criminal trespass in the second degree.
<br />Pursuant to Park and Open Space Rule R- 1 .074 VOU are entitled to an infon hearing to contest [his Notice. A request I -- or ail
<br />informal hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Director")
<br />within 48 11OUrS (MIUSiVC of'weekends) of receipt ofthis Notice at the following address. 1820 Roosevelt, Blvd., Eugene, OR
<br />97401
<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 hCRU (CXCILISiVe of weekends) of receipt of the request l'or hearing, At the informal hearing the Division Director will only
<br />consider testimony frorn you, City personnel involved in the incident that resulted In this Notice, and offier witnesses to the
<br />incident, The Div is lon Director rnay exclude anyone, other than you Zind those prese n I Ing test hriony, t'ron the i riforn-lal hearing
<br />This Notice shall remain in effect pending any requested hearing.
<br />This'Nolice oil' Exclusion was delivered to the person named at the top of this Notice at the date and tirt shown above by:
<br />(Signature of person ik.1 notice;)
<br />I hereby acknowledge receipt of the above Notice on the date and time indicated above,
<br />(Signature of person being issued the notice)
<br />Mllte Copy: Publi, wurk� Green Copy: HIC' Yello\, yore : Rcpoll Copy Pink Cop Recipiem Gold Copy: OfficcR Appeal notice
<br />Hn I fW
<br />
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