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LOCATION (PARKIOPEN SPACE): <br />11 <br />11111lil 111111111111 ;� l;1111111IIIIII q11111 1111�� 11 <br />9 <br />Pursuant to Park and Open Space Rule R-t.074 you are entitled to an info al 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 (excluqive cif weekends) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene., OR <br />97402. <br />The Divisi on D irector shal I schedu le a time and place for the informal hearing to be conducted . which shall be not more than <br />of the rewiluest for hearing-, At the informal hearinS the Division Director will onlo <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 effeet 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 />(Si�m ire of perqon issuing delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />\J <br />(Signature of person being issued the notice) <br />While Copy; ruble Works Green Copy: Filc Yellow Copy: Report Copy Pink Copy: Recipient Gold Copy_ Offi oer Appeal notice Rev- Al A13 <br />Narne: Last First Middle <br />DOB <br />R, U-" <br />f <br />R e s. A!d 4d i e s city <br />State <br />dip I <br />i <br />Res, Phone: <br />Work Phone: <br />1"S <br />11 <br />11111lil 111111111111 ;� l;1111111IIIIII q11111 1111�� 11 <br />9 <br />Pursuant to Park and Open Space Rule R-t.074 you are entitled to an info al 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 (excluqive cif weekends) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene., OR <br />97402. <br />The Divisi on D irector shal I schedu le a time and place for the informal hearing to be conducted . which shall be not more than <br />of the rewiluest for hearing-, At the informal hearinS the Division Director will onlo <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 effeet 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 />(Si�m ire of perqon issuing delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />\J <br />(Signature of person being issued the notice) <br />While Copy; ruble Works Green Copy: Filc Yellow Copy: Report Copy Pink Copy: Recipient Gold Copy_ Offi oer Appeal notice Rev- Al A13 <br />