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and Open Space Rules, and/or Section q401— of the Eugene Code, 1971, and/or ORS - 1111111111111- ", .. ... .. ... . .. ...... . To wit, you: <br />( Vc<n-rat,( P� <br />(Description of the violation.) <br />This restriction of use is effective he ginning o —1 and shall remain in effect until OC <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 />Purs"ant to Park and Open Space Rule R- 1.074 you are entitled to an infra al hearing to contest this Notice. A request for an <br />info al hearing must be made in writing grad Filed with the Parks & Open Space Divi sion Director ("the Division Director") <br />within 48 hours (exclusive of weekends) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Fugene, 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 info al 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 infra al hearing. <br />This Notice shall remain in effect pending any requested hearing, <br />---7 <br />This Notice of Exclusion was delivered to the person named at the top of this Notice at ate and fir s - n above by: <br />i miature o'Perso in_ deliverin <br />2.;:n issung notice) <br />I hereby acknowledge receipt of the above Notice on the dale and tinic indicated above, <br />(Signature of person being issued the notice) <br />White Copy: Public Works Green Copy: File Yellow Copy: Repon Copy Pink Copy: Recipient Gold Copy! Officer AppeA notice Rev 04 k3 <br />Name. Last First Middle <br />DOB: <br />RaCQ/Sex <br />z <br />City <br />Ro. Address: City <br />t 1 - t - 1 <br />Zip <br />Res. Phoae: <br />Work Plioiic: <br />and Open Space Rules, and/or Section q401— of the Eugene Code, 1971, and/or ORS - 1111111111111- ", .. ... .. ... . .. ...... . To wit, you: <br />( Vc<n-rat,( P� <br />(Description of the violation.) <br />This restriction of use is effective he ginning o —1 and shall remain in effect until OC <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 />Purs"ant to Park and Open Space Rule R- 1.074 you are entitled to an infra al hearing to contest this Notice. A request for an <br />info al hearing must be made in writing grad Filed with the Parks & Open Space Divi sion Director ("the Division Director") <br />within 48 hours (exclusive of weekends) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Fugene, 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 info al 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 infra al hearing. <br />This Notice shall remain in effect pending any requested hearing, <br />---7 <br />This Notice of Exclusion was delivered to the person named at the top of this Notice at ate and fir s - n above by: <br />i miature o'Perso in_ deliverin <br />2.;:n issung notice) <br />I hereby acknowledge receipt of the above Notice on the dale and tinic indicated above, <br />(Signature of person being issued the notice) <br />White Copy: Public Works Green Copy: File Yellow Copy: Repon Copy Pink Copy: Recipient Gold Copy! Officer AppeA notice Rev 04 k3 <br />