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LOCATION (PARK /OPEN SPACE): <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005(3), you are hereby <br />notified th t s=cat' re prohibited from (check box): <br />- <br />Pursuant to Park and Open Space Rule R- 1.[174 you are entitled to an informal hearing to contest this Notice. A request for an <br />infon hearing must be made in writing and riled 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 PTOse. nting 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 ell is e steel c show above by: <br />0ionature of person issuing e'de <br />�,Vering notice) <br />I hereby acknowledge receipt of the above Notice on the date and firno ]Indicated ab(rve-, <br />7 <br />(Signature of person be ing issu the <br />White Copy: Public Works tweets upy Fik Yel I Lm Copy; Rupt)rt 4 opy Pink Copy , Rec ip icnt Gold Copy: Off cur Appeal rovlica Ri-,v- 04/03 <br />Na r lltt <br />De)Z V5q1_ <br />Rac <br />� <br />;ne <br />Res. <br />Zip <br />RkKf <br />Work Phone: <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005(3), you are hereby <br />notified th t s=cat' re prohibited from (check box): <br />- <br />Pursuant to Park and Open Space Rule R- 1.[174 you are entitled to an informal hearing to contest this Notice. A request for an <br />infon hearing must be made in writing and riled 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 PTOse. nting 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 ell is e steel c show above by: <br />0ionature of person issuing e'de <br />�,Vering notice) <br />I hereby acknowledge receipt of the above Notice on the date and firno ]Indicated ab(rve-, <br />7 <br />(Signature of person be ing issu the <br />White Copy: Public Works tweets upy Fik Yel I Lm Copy; Rupt)rt 4 opy Pink Copy , Rec ip icnt Gold Copy: Off cur Appeal rovlica Ri-,v- 04/03 <br />