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DATE: 111-7-1114 <br />1X ION OF USE <br />and Notice of Right to Appeal <br />TIME: ro CASE <br />LOCATION (PARK/OPEN SPACE): — eg <br />cs Tz tJ - __&6m PA-ici� <br />III RIMINI 11 11111 1111111111 1 11 <br />11 1 1 11 1 311 ii Ill III ifflill 1111 1 1 <br />The basis for this Notice of Restriction of Use is that on you violated Section I of the Park <br />and Open Space Rules, and/or Section q a 2 b - 7 - of the Eugene Code, 1971, and/or ORS 111111_­_____­1 To wit, yow_ <br />r5 7XC— _S i — <br />Pursuant to Park and Open Space Rule R-1.074 you are entitled to an informal hearing to contest this Notice. A request fear an <br />informal hearing must be made in writing and filed with the Parks & Open Space Division DiTeVtOT ("the Division Director") <br />within 48 hours (exclusive of weekends) ofreceipt 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) of receipt of the request for hearing. At the informal 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 informal 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 of this Notice at the date and time shown above by: <br />of person issuing/delivering notice) <br />i --s-i-114 U Te l <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above, <br />01"J i be <br />(Signature of person being issued the notice) <br />"tklhite Copy Public Works Green Copy, He 'Y ellow Copy: Report Copy Pink Copy: Recipient Gold Copy� Officer Appeal no ice Rv%, 04 ,1 <br />Nanie: Last First Middle <br />DOB� <br />Race:` ex <br />PLC C 3 G tl N C- <br />VC­ OT-1976, <br />Lk-3 <br />Reg. Address: city <br />State <br />Zip <br />Res. Phase. <br />Work Phone: <br />III RIMINI 11 11111 1111111111 1 11 <br />11 1 1 11 1 311 ii Ill III ifflill 1111 1 1 <br />The basis for this Notice of Restriction of Use is that on you violated Section I of the Park <br />and Open Space Rules, and/or Section q a 2 b - 7 - of the Eugene Code, 1971, and/or ORS 111111_­_____­1 To wit, yow_ <br />r5 7XC— _S i — <br />Pursuant to Park and Open Space Rule R-1.074 you are entitled to an informal hearing to contest this Notice. A request fear an <br />informal hearing must be made in writing and filed with the Parks & Open Space Division DiTeVtOT ("the Division Director") <br />within 48 hours (exclusive of weekends) ofreceipt 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) of receipt of the request for hearing. At the informal 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 informal 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 of this Notice at the date and time shown above by: <br />of person issuing/delivering notice) <br />i --s-i-114 U Te l <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above, <br />01"J i be <br />(Signature of person being issued the notice) <br />"tklhite Copy Public Works Green Copy, He 'Y ellow Copy: Report Copy Pink Copy: Recipient Gold Copy� Officer Appeal no ice Rv%, 04 ,1 <br />