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Fritering in or using all City of Eugene parks, open spaces or facilities. <br />The basis for this Notice of Restriction of Use is that on M iq 201y you violated Section of the Park <br />and Open Space Rules, and /car Section _YjqD of the Eugene Code, 197 1, and/or ORS _. To wit, you: <br />(Description of the violation.) <br />Pursuant to Park and Open Space Rule 1t - 74 you are, entitled to an informal hearing to contest this Notice. A request for an <br />infon 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 />RMWAIMAM�&AT'VNIM nWa1F*WV0�WMPjII <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 rLmain 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 />- ---- <br />--- -- - <br />(Signatutreofpers - issuing/deliveringnotice,1 <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />ASLAF To t tf X C-V <br />(Signature of person EiLingiissued the notice) <br />Wh ite C ' py! Puhl ic Wu rkr, Green Copy: File Yellow C opy! Report Copy Pink Copy: Pecipient Cold Copy: Officer ApNal notice Rm 04iG3 <br />Name: Last First Middle <br />DOB: <br />Race,Sex: <br />Res. Address: City <br />State <br />Zip <br />Res, Phone: <br />W1rk Phone: <br />AA <br />- - - ------------------------------- <br />Fritering in or using all City of Eugene parks, open spaces or facilities. <br />The basis for this Notice of Restriction of Use is that on M iq 201y you violated Section of the Park <br />and Open Space Rules, and /car Section _YjqD of the Eugene Code, 197 1, and/or ORS _. To wit, you: <br />(Description of the violation.) <br />Pursuant to Park and Open Space Rule 1t - 74 you are, entitled to an informal hearing to contest this Notice. A request for an <br />infon 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 />RMWAIMAM�&AT'VNIM nWa1F*WV0�WMPjII <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 rLmain 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 />- ---- <br />--- -- - <br />(Signatutreofpers - issuing/deliveringnotice,1 <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />ASLAF To t tf X C-V <br />(Signature of person EiLingiissued the notice) <br />Wh ite C ' py! Puhl ic Wu rkr, Green Copy: File Yellow C opy! Report Copy Pink Copy: Pecipient Cold Copy: Officer ApNal notice Rm 04iG3 <br />