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Under tine a uthorityof Ad ministrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005(3),,you are hereby <br />notified that you are prohibited from (cheek box): <br />I <br />Entering in or using all City ol'Lugene parks, open spaces or facilities. <br />PUNUant to Park and Open Space Rule R-1 .074 you are entitled to an informal hearing trb contest this Notice, A request for an <br />nil'ornial hearing rriust 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 />'rhe Division Director shall schedule as tirne and place for the itilorrnal hearing to be conducted, which ,hall be not to than <br />72 hours (exclusive of weekends) of receipt of the request for hearing. At [lie inRa herrring the Division Director will only <br />consider testimony ftom, you, City personnel involved in the incident that resulted in this Notice.. and other wh.nesscs to the <br />incident, The Division Directort exclude anyone, other than you and those presenting testiniony, frornthe inllorn hearing, <br />This Notice shall remain in effect pending any recttiested hearing. <br />This Notice OfEXCILIgIon was delivered to the person named at the top of this Noti ate and firne shown above by"� <br />11a L C Of 'non tsswng� ivering notice) <br />t <br />I hereby acknowledge receipt ofthe above Notice on the date and time indicated abovc. <br />v— <br />—011 S sk, - ic 9 - <br />of pe ci <br />While ( opy. Public Woi ks ( opy. I 11c Ydi m Cop . RcpoO ( opv Pink Copy: R,:,:ipienL G Ad Copy: Offlicei App A rIolice Ro�, 041163 <br />Name Last First Middl- <br />Ad = MIJ <br />DOB� <br />AO, <br />�7 <br />Res. Addres. (-A Cit" <br />, <br />Slaw <br />Phone: <br />W <br />0 ) <br />Under tine a uthorityof Ad ministrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005(3),,you are hereby <br />notified that you are prohibited from (cheek box): <br />I <br />Entering in or using all City ol'Lugene parks, open spaces or facilities. <br />PUNUant to Park and Open Space Rule R-1 .074 you are entitled to an informal hearing trb contest this Notice, A request for an <br />nil'ornial hearing rriust 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 />'rhe Division Director shall schedule as tirne and place for the itilorrnal hearing to be conducted, which ,hall be not to than <br />72 hours (exclusive of weekends) of receipt of the request for hearing. At [lie inRa herrring the Division Director will only <br />consider testimony ftom, you, City personnel involved in the incident that resulted in this Notice.. and other wh.nesscs to the <br />incident, The Division Directort exclude anyone, other than you and those presenting testiniony, frornthe inllorn hearing, <br />This Notice shall remain in effect pending any recttiested hearing. <br />This Notice OfEXCILIgIon was delivered to the person named at the top of this Noti ate and firne shown above by"� <br />11a L C Of 'non tsswng� ivering notice) <br />t <br />I hereby acknowledge receipt ofthe above Notice on the date and time indicated abovc. <br />v— <br />—011 S sk, - ic 9 - <br />of pe ci <br />While ( opy. Public Woi ks ( opy. I 11c Ydi m Cop . RcpoO ( opv Pink Copy: R,:,:ipienL G Ad Copy: Offlicei App A rIolice Ro�, 041163 <br />