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5L 1 61535 <br />If you enter in Of use any City of Eugene park, open space or fecifity 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 informal 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 th i s N ofice at the following address: 1820 Roosevelt, Blvd ., Eu gene, 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 infornial hearing the Division Director will only <br />consider testimony frorn you, City personnel involved in the incident that resulted in this Notice, and other witnesws, to the <br />incident. The Division Director may exclude anyone, other than you and those Presenting testimony, from the in Cormal hearing, <br />This Notice shall rernain in effect pending any requested hearing. <br />I - <br />This Notice of Exclusion was delivered to the person named at the top of this Notice at the date and time - ,,ho above by: <br />'e <br />'e <br />is <br />_liserj <br />(Signature ersort issuingidelivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(Signature of person being issued the notice) <br />WhA�� Copy: Public Works Gaza capy; File Yellow Copy: Repon Copy Pink Copy: Recipient Gold Co�py: Officer App eol nutwe Rn, UV03 <br />Naine: Last First Mid <br />te <br />TEL olwEf� I v <br />DOB <br />&D <br />Rtie c­-Sc x� <br />i­�) M <br />Res. Address: C; <br />St <br />-s', <br />Res. Phone: <br />Work Phone <br />If you enter in Of use any City of Eugene park, open space or fecifity 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 informal 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 th i s N ofice at the following address: 1820 Roosevelt, Blvd ., Eu gene, 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 infornial hearing the Division Director will only <br />consider testimony frorn you, City personnel involved in the incident that resulted in this Notice, and other witnesws, to the <br />incident. The Division Director may exclude anyone, other than you and those Presenting testimony, from the in Cormal hearing, <br />This Notice shall rernain in effect pending any requested hearing. <br />I - <br />This Notice of Exclusion was delivered to the person named at the top of this Notice at the date and time - ,,ho above by: <br />'e <br />'e <br />is <br />_liserj <br />(Signature ersort issuingidelivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(Signature of person being issued the notice) <br />WhA�� Copy: Public Works Gaza capy; File Yellow Copy: Repon Copy Pink Copy: Recipient Gold Co�py: Officer App eol nutwe Rn, UV03 <br />