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1 15 <br />Under the authority of Administrative Orde and Park sai Op en ace S p Rule R- 1 .005(3), you are hereby <br />, In. 58-03-24-F. <br />notified that you are probibited from (,check box): <br />Entering in or using all City of Eugene parks, open spaces or facifities. <br />The basis for this Notice of Restriction of Use is that on <br />— -------- - you violated SectionLPI!P� of the Park <br />10 <br />and 0 en Space Rules, and/or Section <br />P 7L21gof the Eugene Code, 1971, and ./or ORS To wit, you- <br />a <br />(Description of the violation.) <br />This restriction of use is eff ective beginning ov,� and shall remain in effect unfilo <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 &r Open Space Division Director ("the Division Director") <br />within 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 informal 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 info orl 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 infornial 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 />(Si Qerson. ssuing/delivezing notice) <br />I hereby acknowledge receipt of the above N otice on the date and time indicated above. <br />—Q— <br />— -- ­ '4 <br />( �Signature �orpeil6n , iiZed 17hcut icej <br />Whme Copy: Public Works Grct9i Copy: File Yellow Copy. Ruport Copy NTA Copy! Rrcipient Gold Copy: Officer Appoal 11ofice Rs v- 1W03 <br />Name L mgt _-, First Middle <br />DO 13: <br />Race $ex. <br />ya <br />Res. Address: <br />rk Phone: <br />7 <br />1 15 <br />Under the authority of Administrative Orde and Park sai Op en ace S p Rule R- 1 .005(3), you are hereby <br />, In. 58-03-24-F. <br />notified that you are probibited from (,check box): <br />Entering in or using all City of Eugene parks, open spaces or facifities. <br />The basis for this Notice of Restriction of Use is that on <br />— -------- - you violated SectionLPI!P� of the Park <br />10 <br />and 0 en Space Rules, and/or Section <br />P 7L21gof the Eugene Code, 1971, and ./or ORS To wit, you- <br />a <br />(Description of the violation.) <br />This restriction of use is eff ective beginning ov,� and shall remain in effect unfilo <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 &r Open Space Division Director ("the Division Director") <br />within 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 informal 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 info orl 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 infornial 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 />(Si Qerson. ssuing/delivezing notice) <br />I hereby acknowledge receipt of the above N otice on the date and time indicated above. <br />—Q— <br />— -- ­ '4 <br />( �Signature �orpeil6n , iiZed 17hcut icej <br />Whme Copy: Public Works Grct9i Copy: File Yellow Copy. Ruport Copy NTA Copy! Rrcipient Gold Copy: Officer Appoal 11ofice Rs v- 1W03 <br />