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Under the authority of Administrative Order No. 58-03-24-F and Parka and Open Space Rule R-1.005(3), you are here by <br />notified that you are prohibited from (check box): <br />X Entering in or using all City ofEugene parks, open spaces or facilifics. <br />FIK <br />(Descripti(n of the violation.) <br />This restriction of use is effective beginning on _ 7-&1 and shall remain in effect until _&LZIJ <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 Ear R- 1.1774 You are entitled to an inforina I hearing to contest th N otice. A req uest. fo r an <br />informal hearing must be rnade in writing and filed with the Parks & 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 />97401 <br />'flee Division Director shall schedule is time and place for the informal hearing to be conducted, which shall be not more thari <br />ZD <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 frorn you, City" personnel involved in the incident that resulted in this Notice, and other witnesses to the <br />incident, The Division Director rnay exclude anyone, other than you and those presenting testirriony, from the inhormal hearing. <br />This Notice shall remain in effect pending arty requested hearing. <br />This Notice of Exclusion was (delivered to the person nanied at the top of this Notice at the d ', 'and ti re shown above try. — - - <br />aturL of the <br />n issuin g/delivering notice:) <br />I hereby acknowledge receipt of the above 'Notice on the date and tirne indicatcd above. <br />I <br />White (opy Public Wojks Glecil ( opyl File yeflom Cop Repol I cop Pink Copy: Rmpiem (44d Copy: Offi wcr Appeal notice R 04 0,,' <br />Nain asst First Middle <br />DOB: <br />Ra;cJ1 <br />b A lqo,� JA60,0 <br />b3- <br />Res- Address: ("ity <br />State <br />Zip <br />Reg. Phone: <br />Work Phone <br />Under the authority of Administrative Order No. 58-03-24-F and Parka and Open Space Rule R-1.005(3), you are here by <br />notified that you are prohibited from (check box): <br />X Entering in or using all City ofEugene parks, open spaces or facilifics. <br />FIK <br />(Descripti(n of the violation.) <br />This restriction of use is effective beginning on _ 7-&1 and shall remain in effect until _&LZIJ <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 Ear R- 1.1774 You are entitled to an inforina I hearing to contest th N otice. A req uest. fo r an <br />informal hearing must be rnade in writing and filed with the Parks & 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 />97401 <br />'flee Division Director shall schedule is time and place for the informal hearing to be conducted, which shall be not more thari <br />ZD <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 frorn you, City" personnel involved in the incident that resulted in this Notice, and other witnesses to the <br />incident, The Division Director rnay exclude anyone, other than you and those presenting testirriony, from the inhormal hearing. <br />This Notice shall remain in effect pending arty requested hearing. <br />This Notice of Exclusion was (delivered to the person nanied at the top of this Notice at the d ', 'and ti re shown above try. — - - <br />aturL of the <br />n issuin g/delivering notice:) <br />I hereby acknowledge receipt of the above 'Notice on the date and tirne indicatcd above. <br />I <br />White (opy Public Wojks Glecil ( opyl File yeflom Cop Repol I cop Pink Copy: Rmpiem (44d Copy: Offi wcr Appeal notice R 04 0,,' <br />