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LOCATION (PARK/OPEN SPACE):_j*jhYqCA,�Cj-t �,j Tlfs� & AY&4�
<br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005(3), you are herehv
<br />notified that you are prohibited from (check box):
<br />Entering in or using all City of Eugene parks, open spaces or facilities,
<br />The basis for this Notice of Restriction of Use is that on l of the Park
<br />—py you violated Section C o Q
<br />ija _J�_
<br />and Open Space Rules, and/or Section _2, 011 of the Eugene Code, 1971, andlor ORS --1 To wit, you:_
<br />t-j tAA- eA^jY---e, x�,x rff— AA*
<br />(Description of the violation.)
<br />This restriction of use is effective beginning on OW �Cov �', and shall remain in effect until 6-CC,
<br />If you enter in or use any City of Eugene park, open space or facility during the effective period ofthis 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 for an
<br />informal hearing must be made in writing and riled with the Parks & Open Space Division Director ("the Division Director")
<br />within 48 hours (exclusive of weekeDds) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, Olt
<br />97402.
<br />The Division Director sha sched We a tithe and place for the in [bri hearing to be conducted, which shall be not more than
<br />72 hours (exclusive of weekends ) f ol'receipt o the request for hearing. At the informal hearing the Division Director will only
<br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the
<br />incident, The Division Director may exclude anyone, other than you and those presenting testimony, from the informal hearing.
<br />This Notice shall remain in effect pending any requested hearing.
<br />This Notice of Exclusion was delivered to the person named at the top of this Notice at the date and time shown above by:
<br />(Signature of person issuing/delivering notice)
<br />nt,gf ;- - C161
<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 />Wh i ic Copy: Pub I i c Work-q (sreen Copy! Hc Yellow Copy; Report Copy Pink Cepyt RcOpivnl Gold Copy; Officer Appeal nafice Reit- 041'03
<br />Naine. Last First Middle
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<br />Race '`sex:
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<br />Res. Address: City St
<br />Zip
<br />Res, Phone:
<br />Work Phune.
<br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005(3), you are herehv
<br />notified that you are prohibited from (check box):
<br />Entering in or using all City of Eugene parks, open spaces or facilities,
<br />The basis for this Notice of Restriction of Use is that on l of the Park
<br />—py you violated Section C o Q
<br />ija _J�_
<br />and Open Space Rules, and/or Section _2, 011 of the Eugene Code, 1971, andlor ORS --1 To wit, you:_
<br />t-j tAA- eA^jY---e, x�,x rff— AA*
<br />(Description of the violation.)
<br />This restriction of use is effective beginning on OW �Cov �', and shall remain in effect until 6-CC,
<br />If you enter in or use any City of Eugene park, open space or facility during the effective period ofthis 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 for an
<br />informal hearing must be made in writing and riled with the Parks & Open Space Division Director ("the Division Director")
<br />within 48 hours (exclusive of weekeDds) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, Olt
<br />97402.
<br />The Division Director sha sched We a tithe and place for the in [bri hearing to be conducted, which shall be not more than
<br />72 hours (exclusive of weekends ) f ol'receipt o the request for hearing. At the informal hearing the Division Director will only
<br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the
<br />incident, The Division Director may exclude anyone, other than you and those presenting testimony, from the informal hearing.
<br />This Notice shall remain in effect pending any requested hearing.
<br />This Notice of Exclusion was delivered to the person named at the top of this Notice at the date and time shown above by:
<br />(Signature of person issuing/delivering notice)
<br />nt,gf ;- - C161
<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 />Wh i ic Copy: Pub I i c Work-q (sreen Copy! Hc Yellow Copy; Report Copy Pink Cepyt RcOpivnl Gold Copy; Officer Appeal nafice Reit- 041'03
<br />
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