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Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule 005(3). you are hereby <br />notified that you are prohibited from (check box): <br />lippilig III 1 1 1111 <br />The basis for this Notice of Restriction of Use is that on you violated Section tb' ofthePark <br />and Open Space Rules, an&or Section e of the Eugene Code, 1971, and/or ORS To wit, you <br />Aht 003 & Nt-"mL, A-Mb <br />Pursuant to Park s nd Open Space Rule R-1.074 you are entitled to an info al hearing to contest this Notice. Arequest tear an <br />informal hearing must be made in writing and filed with the Parks & Open Space Division Director ( Division. Director <br />within 48 hours (exclusive of weekend%) of receipt of this Notice at the following address 1920 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 wit I 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 pre eserni rig testimony, From the informa I 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 the date and time shown above by. <br />(Signature of"perqon isquing/de lip ering notice) <br />I hereby acknowledge receipt of the above Notice on the date and tine indicated above, <br />A V , aLV - f" 4,�, ct'--4ti) <br />(Signature of person being issued the notice) <br />Whit;, C",TY: Public Wurk� Green Copy: File Y e llow C ory, Report Copy pink Copy: Recipient Gold Copy: Of Appeal noice <br />�l <br />---------- <br />Narne: I-a, First <br />Middle <br />DOB: <br />- <br />Rage, 'ex: <br />t <br />Res. Address: CkA_ <br />City <br />State <br />Zip <br />Res. Phone: <br />Work Phone: <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule 005(3). you are hereby <br />notified that you are prohibited from (check box): <br />lippilig III 1 1 1111 <br />The basis for this Notice of Restriction of Use is that on you violated Section tb' ofthePark <br />and Open Space Rules, an&or Section e of the Eugene Code, 1971, and/or ORS To wit, you <br />Aht 003 & Nt-"mL, A-Mb <br />Pursuant to Park s nd Open Space Rule R-1.074 you are entitled to an info al hearing to contest this Notice. Arequest tear an <br />informal hearing must be made in writing and filed with the Parks & Open Space Division Director ( Division. Director <br />within 48 hours (exclusive of weekend%) of receipt of this Notice at the following address 1920 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 wit I 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 pre eserni rig testimony, From the informa I 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 the date and time shown above by. <br />(Signature of"perqon isquing/de lip ering notice) <br />I hereby acknowledge receipt of the above Notice on the date and tine indicated above, <br />A V , aLV - f" 4,�, ct'--4ti) <br />(Signature of person being issued the notice) <br />Whit;, C",TY: Public Wurk� Green Copy: File Y e llow C ory, Report Copy pink Copy: Recipient Gold Copy: Of Appeal noice <br />�l <br />---------- <br />