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i <br />LOC <br />ION OF USE <br />nutted that you <br />The Basis for this <br />and OpGu> Space F <br />(13escrtptkott ���h4 <br />TltiS .re9t l�CtlOi1'U <br />97402;, <br />The Tlivisron Djr <br />�2 hours (exchtsui <br />consider testimony <br />- <br />'.4t A(iWinistrative Order- No:'58- 0- 34 =E;8nd Park and Qperi Space Rule R- 1.005(3); you are hereby <br />e probtbited from (check box);_, <br />Bring in or using all City of Eugene parks, open spaces or facilities, <br />is. ettective beginning on :'t i ° { ? s and shall remain in effect until <br />Name Last First 11fjdtlie <br />DOB <br />Aace /S x <br />'Res tlddress City <br />State <br />Zip <br />Res Phone: <br />Work Phone" ' : <br />nutted that you <br />The Basis for this <br />and OpGu> Space F <br />(13escrtptkott ���h4 <br />TltiS .re9t l�CtlOi1'U <br />97402;, <br />The Tlivisron Djr <br />�2 hours (exchtsui <br />consider testimony <br />- <br />'.4t A(iWinistrative Order- No:'58- 0- 34 =E;8nd Park and Qperi Space Rule R- 1.005(3); you are hereby <br />e probtbited from (check box);_, <br />Bring in or using all City of Eugene parks, open spaces or facilities, <br />is. ettective beginning on :'t i ° { ? s and shall remain in effect until <br />