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Pursuant to Park and Open Space Rule R-1.074 you are entitled it) an iril'Ornial hearing to contest this Notice, A request for an <br />in Cortnal hearing must be made 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 l'ollowing address. 1820 Roosevelt, Blvd.,,Eugent, OR <br />97402. <br />The Division Director shall schedule a time and place fior the in I'ormal hearing to be conducted, which shall be not more than <br />72 hours (exclasive ol'weekends) ofreccipt of the request for hearing. At the informal 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 inforulal 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 ol" this Notice at me s wn above by <br />�,gnature of person jsstftg delivering notice) <br />Name Last First Middle <br />DOB: <br />Race/Sex; <br />Re kdd City <br />State <br />� Zip <br />Res. Phone <br />Work Phone: <br />Pursuant to Park and Open Space Rule R-1.074 you are entitled it) an iril'Ornial hearing to contest this Notice, A request for an <br />in Cortnal hearing must be made 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 l'ollowing address. 1820 Roosevelt, Blvd.,,Eugent, OR <br />97402. <br />The Division Director shall schedule a time and place fior the in I'ormal hearing to be conducted, which shall be not more than <br />72 hours (exclasive ol'weekends) ofreccipt of the request for hearing. At the informal 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 inforulal 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 ol" this Notice at me s wn above by <br />�,gnature of person jsstftg delivering notice) <br />