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and Open Space Rules, and/or Section T-X of the Eugene Code, 1971, and/or ORS To wit, you: <br />�Z- <br />(Description of the violation.) <br />This restriction of use is effective beginning on 06 (q-( f m 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 criminal trespass in the second degree. <br />Pursuant to Park and Open Space Rule R-1.074 you are entitled to an infonnal hearing to contest this Notice. A request for an <br />informal 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 as tirne and place for the infionnal 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 ri ain in effect pending any requested hearing. <br />This Notice of Exclusion was delivered to the person named at the top of this Notice at ate at lie s n above by: <br />-- ------- — ------ — ------------- <br />(Signature of person issuing. , 'delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />- - - ------ - - ---- <br />(Signature of person being issued the notice) <br />White Co r, Public Wz rkG Green Copy: He )VIt * Cup y � Rc po a Copy Pink (,.'opy: Rc6pient. Cold Copy 0M cc r Ap peal nor me ice Rev 04,'03 <br />Name: Last First Middle <br />-rL-e �JTLCTIPO^l <br />DOB: <br />R a e ;S le,� <br />�.d <br />Res. Address: City <br />I <br />State <br />] <br />Zip <br />Res, Phone: <br />W ork Phone: <br />and Open Space Rules, and/or Section T-X of the Eugene Code, 1971, and/or ORS To wit, you: <br />�Z- <br />(Description of the violation.) <br />This restriction of use is effective beginning on 06 (q-( f m 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 criminal trespass in the second degree. <br />Pursuant to Park and Open Space Rule R-1.074 you are entitled to an infonnal hearing to contest this Notice. A request for an <br />informal 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 as tirne and place for the infionnal 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 ri ain in effect pending any requested hearing. <br />This Notice of Exclusion was delivered to the person named at the top of this Notice at ate at lie s n above by: <br />-- ------- — ------ — ------------- <br />(Signature of person issuing. , 'delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />- - - ------ - - ---- <br />(Signature of person being issued the notice) <br />White Co r, Public Wz rkG Green Copy: He )VIt * Cup y � Rc po a Copy Pink (,.'opy: Rc6pient. Cold Copy 0M cc r Ap peal nor me ice Rev 04,'03 <br />