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[Jnd#- the authority of Administrative Order No. 58-03-2 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 "D D ofthe Park
<br />and Open Space Rules, and/or Section of the Eugene Code, 19"71, and/or ORS To wit, you:
<br />(Description of the violation.)
<br />This restriction of use is effective beginning on and shall remain in effect until A5 if) Zpj 3_.
<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 far an
<br />informal hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Directoe')
<br />withiu 48 hours (exclusive of weekends) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR
<br />97402.
<br />The Division Director shall schedule a time and place for the infornial hearing to be conducted, which shall be not more than
<br />72 hours (exclusive of weekends) of receipt of the request for hearing. At the informal hearing the Division Director will only
<br />consider testimony (rom 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 test "I ny, from the informal hearing.
<br />This Notice %hall remain in effect pending any requested hearing. 1
<br />This Notice of Exclusion was delivered to the person named at the top of this Notice, aW date and time shown above by:
<br />I
<br />of person issuing/delivering notice)
<br />I hereby acknowledge receipt of the above Notice on the date and time indicated above,
<br />'
<br />(Si ss7 — --- --
<br />g issued the not c
<br />nature of person be tig , ued the, not cc
<br />Whin'., Copy: Public Works Gwncopy� F& Y ellow C opy : Rqwl COPY Pink Copy: Recipivnt GnId Copy; Offl m Agpeal notice
<br />Rev, 04/03
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<br />[Jnd#- the authority of Administrative Order No. 58-03-2 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 "D D ofthe Park
<br />and Open Space Rules, and/or Section of the Eugene Code, 19"71, and/or ORS To wit, you:
<br />(Description of the violation.)
<br />This restriction of use is effective beginning on and shall remain in effect until A5 if) Zpj 3_.
<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 far an
<br />informal hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Directoe')
<br />withiu 48 hours (exclusive of weekends) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR
<br />97402.
<br />The Division Director shall schedule a time and place for the infornial hearing to be conducted, which shall be not more than
<br />72 hours (exclusive of weekends) of receipt of the request for hearing. At the informal hearing the Division Director will only
<br />consider testimony (rom 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 test "I ny, from the informal hearing.
<br />This Notice %hall remain in effect pending any requested hearing. 1
<br />This Notice of Exclusion was delivered to the person named at the top of this Notice, aW date and time shown above by:
<br />I
<br />of person issuing/delivering notice)
<br />I hereby acknowledge receipt of the above Notice on the date and time indicated above,
<br />'
<br />(Si ss7 — --- --
<br />g issued the not c
<br />nature of person be tig , ued the, not cc
<br />Whin'., Copy: Public Works Gwncopy� F& Y ellow C opy : Rqwl COPY Pink Copy: Recipivnt GnId Copy; Offl m Agpeal notice
<br />Rev, 04/03
<br />
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