NOTICE OF RESTRICTION OF USE <br />D A I "f <br />- -91-14-1--111-1-1 <br />LOCATION (PARK/OPEN SPACE) <br />and Notice ol'Right to Appeal <br />CASI--�' <br />---------- - <br />Pursuant to Park and Open Space Rule 11•1.074 You are entitled to an informal hearing to contest this Notice. A request for all <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 elf 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) ofrecelpt of the reqUCSt for hearing. At the informal hearing the Division Director wfl I only <br />eonsi , ti <br />'der tes irnorty front YOU, City personnel involved in the an <br />that resulted in this Notice, d other witness" to the <br />incident. T he Division Director inay exclude anyone, other than you and those presenting testimony, from the inforn-tal hearing., <br />This Notice shall rernaln in effect pending any requested hearing. <br />This Notice ot'I"'WhNion woLq delivered to the person nained at the top of this NL <br />oti and time shown above bv: <br />(Signature of pe son issuing/deli vering notice) <br />I hereby acknowledge receipt of the above Notice on the (late and hme indicated above, <br />g ann 0 p rson heirr B fi the notice) <br />While Cllpy: Pubfic Woik, 0(,',',11( opy 1 Yd [0'1ti 0[+Y: Rej)011 ('Ofly N11k Cop�, Recipiegu Guld Copy: Offkcr AppQ;tl nonce R,-- 041`03 <br />z <br />First Middle <br />Do <br />Res lres�: City <br />sukle <br />Zip <br />� <br />ties. Plioiie <br />9jzk11 <br />%Vork 1 <br />- <br />Pursuant to Park and Open Space Rule 11•1.074 You are entitled to an informal hearing to contest this Notice. A request for all <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 elf 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) ofrecelpt of the reqUCSt for hearing. At the informal hearing the Division Director wfl I only <br />eonsi , ti <br />'der tes irnorty front YOU, City personnel involved in the an <br />that resulted in this Notice, d other witness" to the <br />incident. T he Division Director inay exclude anyone, other than you and those presenting testimony, from the inforn-tal hearing., <br />This Notice shall rernaln in effect pending any requested hearing. <br />This Notice ot'I"'WhNion woLq delivered to the person nained at the top of this NL <br />oti and time shown above bv: <br />(Signature of pe son issuing/deli vering notice) <br />I hereby acknowledge receipt of the above Notice on the (late and hme indicated above, <br />g ann 0 p rson heirr B fi the notice) <br />While Cllpy: Pubfic Woik, 0(,',',11( opy 1 Yd [0'1ti 0[+Y: Rej)011 ('Ofly N11k Cop�, Recipiegu Guld Copy: Offkcr AppQ;tl nonce R,-- 041`03 <br />