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M . <br />LOCATION (PARKJOPEN SPACE) <br />c �JL�� 1107?� <br />WrICE OF RESTRICTION OF UIS (!2� 611,3 <br />and Notice of fight to Appeal <br />1 "ITT: CASE #: n <br />g <br />Pursuant to Park and Open Space Rule R- L074 you are entitled two an infs 7al hearing to contest this Notice. A request for ran <br />info al hearing must be made in writing and tiled with the Parks & Open Space Division Director ("the Division Director") <br />within 49 hours (exclusive of Weekends) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd, Eugene, O <br />97402 <br />11011111 11 <br />2 hours (em lusive or weekends) or r(Terpt or tire request Yor nearing. At ine inionliat nearing une Division Director win 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 may exclude anyone, other than you and those present] ng testimony, From the in fonnal hearing, <br />This Notice shall remain in effect pend ing <br />This Notice of Exclusion was delivered to the person named at the trap of this, ljotiee a t}_, time shown above by: <br />nature of person issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the elate and time indicated above. <br />i nature of person being issued the notice) <br />W`hjx ( Copy, f uhlid, Wvzsks Gn n Copy! Fike Yd Iow Cnpv! Report C;,)py r hik Copy Rt,— dpient t )ld C'opyi Officer App ear notice Rev, 04/03 <br />__f <br />Name. L t Firs Middle <br />DOB <br />Rr�s� . <br />City <br />I State <br />Zip <br />lea Frho t <br />?a rk Phone: <br />Pursuant to Park and Open Space Rule R- L074 you are entitled two an infs 7al hearing to contest this Notice. A request for ran <br />info al hearing must be made in writing and tiled with the Parks & Open Space Division Director ("the Division Director") <br />within 49 hours (exclusive of Weekends) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd, Eugene, O <br />97402 <br />11011111 11 <br />2 hours (em lusive or weekends) or r(Terpt or tire request Yor nearing. At ine inionliat nearing une Division Director win 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 may exclude anyone, other than you and those present] ng testimony, From the in fonnal hearing, <br />This Notice shall remain in effect pend ing <br />This Notice of Exclusion was delivered to the person named at the trap of this, ljotiee a t}_, time shown above by: <br />nature of person issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the elate and time indicated above. <br />i nature of person being issued the notice) <br />W`hjx ( Copy, f uhlid, Wvzsks Gn n Copy! Fike Yd Iow Cnpv! Report C;,)py r hik Copy Rt,— dpient t )ld C'opyi Officer App ear notice Rev, 04/03 <br />__f <br />