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Under the autbority of Administrative Order No. 58-03-24-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 />X <br />The basis for this Notice of Restriction of Use is that on 06 - oq you violated Section 7 0 of the Park <br />and Open Space Rules, and/or Section -- of the Eugene Code, 1971, and/or ORS 166z" To wit, you: <br />sp:p�; <br />(De%cription of the violation.) <br />This restriction of use is effective beginning on 2a-�� an 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 widi criminal trespass in the second degree. <br />Pursuant to Park and Open Space Rule R- 1.074 you are entitled to an. informa I hearing to contest this Notice. A request for an <br />informal hearing must be made in writing and filed with the Parks & Open Space Division Director ( ' "the Division Director") <br />within 48 hours ( weekends) ,exclusive of wkends) of'receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402 <br />WeCYrHUs) U1 IU�:CIPL U1 Mu Tquun 711 m:dlmg t%t we 111101111al lmd1mg u1c "IVI'mull Lilicutol 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 informal 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 Eit date id ti shown above by: <br />'ignature of person issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the (late and time indicated above. <br />'S i g1l ature of P - <br />:�.. ;Ionbeing issued the notice <br />White Copy: Public Work-, Green Copy: File Yellow Copy: Report Cnpy Pink Copyt Recipient Gold Copy Officer Appeal ncAiee Ruy, 04,103 <br />Mline-, Las;t t irtit Middle <br />DOB: <br />acei el <br />AA <br />L <br />Res I jress City <br />State <br />Zip <br />Res, Phone: <br />Work Phone: <br />"�'VZW5 TI-E43 <br />Under the autbority of Administrative Order No. 58-03-24-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 />X <br />The basis for this Notice of Restriction of Use is that on 06 - oq you violated Section 7 0 of the Park <br />and Open Space Rules, and/or Section -- of the Eugene Code, 1971, and/or ORS 166z" To wit, you: <br />sp:p�; <br />(De%cription of the violation.) <br />This restriction of use is effective beginning on 2a-�� an 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 widi criminal trespass in the second degree. <br />Pursuant to Park and Open Space Rule R- 1.074 you are entitled to an. informa I hearing to contest this Notice. A request for an <br />informal hearing must be made in writing and filed with the Parks & Open Space Division Director ( ' "the Division Director") <br />within 48 hours ( weekends) ,exclusive of wkends) of'receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402 <br />WeCYrHUs) U1 IU�:CIPL U1 Mu Tquun 711 m:dlmg t%t we 111101111al lmd1mg u1c "IVI'mull Lilicutol 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 informal 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 Eit date id ti shown above by: <br />'ignature of person issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the (late and time indicated above. <br />'S i g1l ature of P - <br />:�.. ;Ionbeing issued the notice <br />White Copy: Public Work-, Green Copy: File Yellow Copy: Report Cnpy Pink Copyt Recipient Gold Copy Officer Appeal ncAiee Ruy, 04,103 <br />