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LOCATION (PARY,/OPEN SP <br />11111 111 111 1 1111 1 1 Jill I <br />j�r- Entering in or using all City of Eugene parks, open spaces or facilities. <br />M <br />The basis for this Notice of Restriction of Use is that on you violated Section t vy D of the Park <br />and Open Space Rules, and/or Section —11 7 _ C of the Eugene Code, 1971, and/or ORS To wit, you <br />� V-1 <br />Pursuant to Park and Open Space Rule R- 1 ,0174 you are entitled to an informal hearing to contest this Notice. A request for an <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 of 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) 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 inf'ormal hearing, <br />This Notice shall rernain in effect pending any requested bearing, <br />This Notice of Exclusion was delivered to the person nained at the top of this Notice at the date and time shown above by: <br />r\ <br />(Si I tune of person issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />--L11 <br />(Signature of person being issued the notice) <br />Whiw Copy: Ylubhc Work§ Green Clnpy; File Ycllow Copy" Report Copy Pink Copy: ReciVwnl Gold Copy; Officer Appeal notice Rev 04/03 <br />Name: Last First Midclie <br />D01131 <br />Racc,'Sexl <br />Ju <br />Res, Mdre,": <br />�ip <br />1P <br />. <br />Res Phone : <br />Work Phone: <br />I <br />I 71 <br />- <br />r,�J; 5 7 i <br />11111 111 111 1 1111 1 1 Jill I <br />j�r- Entering in or using all City of Eugene parks, open spaces or facilities. <br />M <br />The basis for this Notice of Restriction of Use is that on you violated Section t vy D of the Park <br />and Open Space Rules, and/or Section —11 7 _ C of the Eugene Code, 1971, and/or ORS To wit, you <br />� V-1 <br />Pursuant to Park and Open Space Rule R- 1 ,0174 you are entitled to an informal hearing to contest this Notice. A request for an <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 of 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) 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 inf'ormal hearing, <br />This Notice shall rernain in effect pending any requested bearing, <br />This Notice of Exclusion was delivered to the person nained at the top of this Notice at the date and time shown above by: <br />r\ <br />(Si I tune of person issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />--L11 <br />(Signature of person being issued the notice) <br />Whiw Copy: Ylubhc Work§ Green Clnpy; File Ycllow Copy" Report Copy Pink Copy: ReciVwnl Gold Copy; Officer Appeal notice Rev 04/03 <br />