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Z�pA C- f���Ajtqr <br />(Description of the violation.) <br />This restriction of use is effective beginning on 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 S pace Rule R- . 0374 you are entitled to an it fo al hearing to contest this Notice. A request for an <br />inforrnal 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 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 presenting testimony, b the informal hearing, <br />This Notice. shall remain in effect pending a y requested hearing. <br />'This Notice of Exclusion was delivered to the person narned at the top of this Notice a e date H ne shown above by: <br />(Signature of person issuing, ' efivoring 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 />wlwe copy: Public Works Greets Copy: File YeHoiv Copy! Report Copy Pink Copy! Recipient b old Co py () ffi cer Appeal noti <br />Rv,, 0410 <br />Narrac : Last First Middle <br />1)0[1: <br />c--. <br />RaccliSr <br />IA4 <br />1 61 1 �p 6T AA0,AARA <br />' 5 L) <br />0 b q,?-> <br />D <br />Res- Addres cil <br />Stat <br />Res. Phone <br />Work Phone: <br />Z�pA C- f���Ajtqr <br />(Description of the violation.) <br />This restriction of use is effective beginning on 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 S pace Rule R- . 0374 you are entitled to an it fo al hearing to contest this Notice. A request for an <br />inforrnal 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 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 presenting testimony, b the informal hearing, <br />This Notice. shall remain in effect pending a y requested hearing. <br />'This Notice of Exclusion was delivered to the person narned at the top of this Notice a e date H ne shown above by: <br />(Signature of person issuing, ' efivoring 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 />wlwe copy: Public Works Greets Copy: File YeHoiv Copy! Report Copy Pink Copy! Recipient b old Co py () ffi cer Appeal noti <br />Rv,, 0410 <br />