lei oot <br />LJnder the authority ol'Administrative Order No. 58-03-24-F and %k and Open Space Rule R-1.005( 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 />Id <br />The basis for this Notice of Restriction of Use is that on 06 2zrm, you violated Section 01 <br />f b 0 of the Park <br />— <br />and Open Space Rules, and/or Section ry x of the Eugene Code, 1971, anWor ORS —. To wit, you:_ <br />(Description of the violation.) <br />This restriction of use is effective beginning on &5 p and 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 />t-- <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 />into al hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Director") <br />within 4 hours (CXC1USiVe of weekends) of receipt of this Notice at the following address, 1820 Roosevelt, Blvd., Eugene, Ott <br />97401 <br />The Division Director shall schedule a time and place for the informal hearing to be conducted, which shall be not inore 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 testin from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the <br />incident. The Div islon Director may exclUdeanyone, other than you and those presenting iicstimony, frorn the in 6ormal hearing, <br />This Notice shall reinain in effect pending any requested hearing. /7 <br />I III MEN 1011 1111 <br />I hereby acknowledge receipt of the above Notice on the date and time indi( <br />Whig Ccpy. Public %Vurks Grven Copy: File Ye[km Ck-Ty: Rcporl Copy Pink Cop, ,: Roeipicnt Gold Capy� Offiwer ray pual nol�o,° R Y. 04103 <br />jw3,& <br />Name: Last FiNt Middle <br />DOB: <br />Race *sex: <br />el t-1 4 — — 5o rt-A 6 Le- <br />sa-�� <br />Res. Address: <br />Ey :I <br />state <br />q!--] <br />Zip <br />Res, Phone: <br />Work Phone: <br />HLIAI�5 <br />lei oot <br />LJnder the authority ol'Administrative Order No. 58-03-24-F and %k and Open Space Rule R-1.005( 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 />Id <br />The basis for this Notice of Restriction of Use is that on 06 2zrm, you violated Section 01 <br />f b 0 of the Park <br />— <br />and Open Space Rules, and/or Section ry x of the Eugene Code, 1971, anWor ORS —. To wit, you:_ <br />(Description of the violation.) <br />This restriction of use is effective beginning on &5 p and 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 />t-- <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 />into al hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Director") <br />within 4 hours (CXC1USiVe of weekends) of receipt of this Notice at the following address, 1820 Roosevelt, Blvd., Eugene, Ott <br />97401 <br />The Division Director shall schedule a time and place for the informal hearing to be conducted, which shall be not inore 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 testin from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the <br />incident. The Div islon Director may exclUdeanyone, other than you and those presenting iicstimony, frorn the in 6ormal hearing, <br />This Notice shall reinain in effect pending any requested hearing. /7 <br />I III MEN 1011 1111 <br />I hereby acknowledge receipt of the above Notice on the date and time indi( <br />Whig Ccpy. Public %Vurks Grven Copy: File Ye[km Ck-Ty: Rcporl Copy Pink Cop, ,: Roeipicnt Gold Capy� Offiwer ray pual nol�o,° R Y. 04103 <br />jw3,& <br />