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NOTICE OF RESTRICTION OF USE ��s �Sul Dlk� <br />DDT E� iLT-1 T— <br />LOCATION (PARK/OPEN SPACE), <br />and Notice of Right to Appeal <br />I CASE #: <br />,-- I 3�_ 5 <br />0-1�zbo <br />ji� 111111111111 111 111 1 1111 ;:, 11111 111 111111111 � ii 111 11111 1 !111 111 <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />0 <br />Pursuant to Park and Open Space Rule R- 1.071 you are entitled to an informal hearing to contest this Notice. A request for an <br />informal hearing inust 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 DiTector 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 infornia I hearing the Divi sion Director wil I 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 Divi sion Director may exclude anyone, other than you and those presenting testimony, from the in formal 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 ofthis Notice at tl date and time shown above by: <br />&D�_F 77X� A <br />j <br />(Signature of pen',on i notico <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />Ur <br />(Signature of person being issued the notice) <br />White C opy. . Pubic Works Green Copy! File y6low Copy. Report Copy Pink Copy! ReciptIcn E Ould Copy: Officer Appeal notice Rc %_ 04/03 <br />Namc: Last e- First Middle <br />6AV A <br />D01_ <br />Race S - <br />0. <br />V-wq-L- <br />LW <br />L <br />Res. AddresQ,: <br />�3 <br />State <br />CA- <br />' <br />Z OMI <br />Res, Phone <br />- <br />LTD' <br />Work Phone: <br />ji� 111111111111 111 111 1 1111 ;:, 11111 111 111111111 � ii 111 11111 1 !111 111 <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />0 <br />Pursuant to Park and Open Space Rule R- 1.071 you are entitled to an informal hearing to contest this Notice. A request for an <br />informal hearing inust 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 DiTector 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 infornia I hearing the Divi sion Director wil I 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 Divi sion Director may exclude anyone, other than you and those presenting testimony, from the in formal 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 ofthis Notice at tl date and time shown above by: <br />&D�_F 77X� A <br />j <br />(Signature of pen',on i notico <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />Ur <br />(Signature of person being issued the notice) <br />White C opy. . Pubic Works Green Copy! File y6low Copy. Report Copy Pink Copy! ReciptIcn E Ould Copy: Officer Appeal notice Rc %_ 04/03 <br />