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Under the authority of Administrative Order �o �-S 113-24-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 City of Eugene parks, open spaces or facilities. <br />The basis for this Notice of Restriction of Use is that on you violated Section/--O/ ofthe Park <br />(Description of the violation.) <br />the Eugene Code, 197 1, and/or ORS To wit, you. <br />L <br />This restriction, of use is effective beginning onD 6 CV1 ands hall] r emain in effect until 04� <br />j <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 />arrcsted and charged with criminal trespass in the second degree. <br />Jnrormal nearing musf 57 Muc in WrILHIg anu Mcu wan me f 5= Spacir DIFFAUT ule UIVISJOE17:01T <br />rlt <br />"0 <br />within 49 hours (exclusive of weekends) of receipt of this Notice at the following address: 1820,Roosevelt, Blvd., Eugene, 0 <br />97402. <br />M 0-9202- w- <br />7 - nour5 k 7.71usl ve 51 WcORM 7 1 K cuelpt Eli me ft:4uCs' 101 1 W; ring. (i I Me 111 i1cd] klig uItf IVIVIS1011 I-Arec <br />consider testiniony 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 Exclugion. was delivered to the person named at the top of this Notice at the — d time shown above by: <br />e e <br />11re so I <br />U <br />(signature of person suing delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time IDdic <br />White Copy, Public Works Green Cnpy: File Yellow Copy! Rfqian Copy Pink Copy: Recipient Gol d Copy 0 fficer Appea I notice Rev, 04,101 <br />Naine, , Last First N-fiddle <br />(bus, Addrc C" <br />S <br />"' L <br />Res, Phone - <br />t3 ) 3 3 <br />M k III <br />Under the authority of Administrative Order �o �-S 113-24-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 City of Eugene parks, open spaces or facilities. <br />The basis for this Notice of Restriction of Use is that on you violated Section/--O/ ofthe Park <br />(Description of the violation.) <br />the Eugene Code, 197 1, and/or ORS To wit, you. <br />L <br />This restriction, of use is effective beginning onD 6 CV1 ands hall] r emain in effect until 04� <br />j <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 />arrcsted and charged with criminal trespass in the second degree. <br />Jnrormal nearing musf 57 Muc in WrILHIg anu Mcu wan me f 5= Spacir DIFFAUT ule UIVISJOE17:01T <br />rlt <br />"0 <br />within 49 hours (exclusive of weekends) of receipt of this Notice at the following address: 1820,Roosevelt, Blvd., Eugene, 0 <br />97402. <br />M 0-9202- w- <br />7 - nour5 k 7.71usl ve 51 WcORM 7 1 K cuelpt Eli me ft:4uCs' 101 1 W; ring. (i I Me 111 i1cd] klig uItf IVIVIS1011 I-Arec <br />consider testiniony 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 Exclugion. was delivered to the person named at the top of this Notice at the — d time shown above by: <br />e e <br />11re so I <br />U <br />(signature of person suing delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time IDdic <br />White Copy, Public Works Green Cnpy: File Yellow Copy! Rfqian Copy Pink Copy: Recipient Gol d Copy 0 fficer Appea I notice Rev, 04,101 <br />