Ilq111 11111 IgIIIIII JI'llilillil�11111!11''11!!�11!111 'I'll 11 111 <br />IN <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />X <br />Pursuant to Park and Open Space Rule R- 1,074 you are entitled to an infonnal hearing to contest this Notice, A request for an <br />info al 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 />I Ile LIOEVISIlkill Ull" 1,TT1 3�iILUL— U MIKUT UUe lul LUC I Mui 111 Ld I I Jq: ;.�Vfiu I 1 11 <br />72 hours (exclusive of weekendq) ofreecipt 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 />incl dent. The D ivision Director may exclude anyone, other than you and those presenting testimony, from the infornial hearing. <br />'rhis Notice shail 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 sho wTi above by, <br />(Signatu �ofperson issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and I indicated above. <br />(Signature of person being issued the notice) <br />adi ite ( opy Niblic Works Grucn Copy; File Yellow Cory i Report C opy Pink Capv_ Recipient Gold Copy; Officer Appeal notice Rev- 4 r1 AB <br />Naim Last <br />First Middle <br />N <br />D01131 <br />Raec/Scv <br />Res- Address: <br />City <br />State <br />Zip <br />Res. Phonc: <br />Work Phone� <br />Ilq111 11111 IgIIIIII JI'llilillil�11111!11''11!!�11!111 'I'll 11 111 <br />IN <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />X <br />Pursuant to Park and Open Space Rule R- 1,074 you are entitled to an infonnal hearing to contest this Notice, A request for an <br />info al 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 />I Ile LIOEVISIlkill Ull" 1,TT1 3�iILUL— U MIKUT UUe lul LUC I Mui 111 Ld I I Jq: ;.�Vfiu I 1 11 <br />72 hours (exclusive of weekendq) ofreecipt 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 />incl dent. The D ivision Director may exclude anyone, other than you and those presenting testimony, from the infornial hearing. <br />'rhis Notice shail 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 sho wTi above by, <br />(Signatu �ofperson issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and I indicated above. <br />(Signature of person being issued the notice) <br />adi ite ( opy Niblic Works Grucn Copy; File Yellow Cory i Report C opy Pink Capv_ Recipient Gold Copy; Officer Appeal notice Rev- 4 r1 AB <br />