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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 />PES Entering in or using all City of Eugene parks, open spaces or facilities. a_ <br />F47 <br />The basis for this Notice of Restriction of Use is that on you violated Section the Park <br />and Open Space Rules, and/or Section �Oq of the Eugene Code, 197 1, and/or ORS To wit, you. <br />'al 3 W v I LI <br />(Description of the violation.) I <br />This restriction of use is effective beginning on -&d r1j shall remain in effect until <br />If you enter in or use any City of Eugene park, open space or facility during the effective 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 for an <br />informal hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Director") <br />within 4K hours (exclusive of weekends) of receipt oft is Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />I hereby acknowledge receipt of the above Notice on the date and tinie indicated above, <br />(Signature of person being issued the notice) <br />WhAe Copy: Public Works Oreen Copy: File Yeflow COPY! Report Copy Pink Copy: Rccipient Gold Copy: Officer Appual notice <br />acs - WW <br />Name: Last First Middle <br />DOB <br />Raee/sex - <br />0 tj <br />Res. Address: city <br />I <br />State <br />Zip <br />Res. Phone: <br />Work Phone: <br />I fl 1 b A- <br />— <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 />PES Entering in or using all City of Eugene parks, open spaces or facilities. a_ <br />F47 <br />The basis for this Notice of Restriction of Use is that on you violated Section the Park <br />and Open Space Rules, and/or Section �Oq of the Eugene Code, 197 1, and/or ORS To wit, you. <br />'al 3 W v I LI <br />(Description of the violation.) I <br />This restriction of use is effective beginning on -&d r1j shall remain in effect until <br />If you enter in or use any City of Eugene park, open space or facility during the effective 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 for an <br />informal hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Director") <br />within 4K hours (exclusive of weekends) of receipt oft is Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />I hereby acknowledge receipt of the above Notice on the date and tinie indicated above, <br />(Signature of person being issued the notice) <br />WhAe Copy: Public Works Oreen Copy: File Yeflow COPY! Report Copy Pink Copy: Rccipient Gold Copy: Officer Appual notice <br />acs - WW <br />