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M <br />(Description of the violation.) <br />This restriction of use is effective beginning on 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 crit. trespass in the second degree. <br />Pursuant to Park and Open Space Rule R-1.074 you are entitled to an info al hearing to contest this Notice. A request for an <br />in rot-mat 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 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 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 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 at time shown above by: <br />_nature Ofperson is'L,Uing)"delivering notice <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />65-j 11 �11`11 <br />(Signature of person being iSSUcd the notice,) <br />Whac Copyy Public Works Green Copy: File Y e HOW Copy 1 Report COPY Pink Copy: Rvcipicnt Cold Copy: 01T cer Appeaf noi i c c Rev- 04/03 <br />N L I First Middle <br />DOB: <br />Race/Sex' <br />RCIS Addri t <br />Sta - <br />Z <br />Res- Phones <br />w - Phone: <br />M <br />(Description of the violation.) <br />This restriction of use is effective beginning on 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 crit. trespass in the second degree. <br />Pursuant to Park and Open Space Rule R-1.074 you are entitled to an info al hearing to contest this Notice. A request for an <br />in rot-mat 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 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 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 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 at time shown above by: <br />_nature Ofperson is'L,Uing)"delivering notice <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />65-j 11 �11`11 <br />(Signature of person being iSSUcd the notice,) <br />Whac Copyy Public Works Green Copy: File Y e HOW Copy 1 Report COPY Pink Copy: Rvcipicnt Cold Copy: 01T cer Appeaf noi i c c Rev- 04/03 <br />