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LOCATION (PARK/01 SPACE): VJ F-S PAA-k-- 9,L-c5c-IP <br />III! IIIIII)IN11111111 111111 111 <br />1: 1 IN! <br />,V Entering in or using all City of Eugene parks, open spaces or facilities. <br />This rLstriction of use is effective beginning on Lvlao_441 and shall remain in eruct until <br />If you enter in or use any City of Eugene park, open space or facility during the effective period of this Notice, you may be <br />arrested and charged with criminal trespass in the second degree. <br />Pursuant to Park and Open Space Rule R-1.074 you aTe entitled to an informal hearing to contest this Notice. Arequestforan <br />lctd_wAh_iheRj&" Qje-t S�acc Division Director ("the Division Directoe') <br />KISSINGER I MIFIIIII 11' 1 i I <br />The Division Director shall schedulc a time and place for the informal hearing to be conducted, which shall be not more than <br />72 hours (exclusive of weckcnds) of receipt of the request for hearing. At the infomial hearing the Division Director wilt 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 info al 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 firne shown above by: <br />(Sign re of person issuin&' <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above, <br />U <br />(Signature of person being issued the notice <br />Whke Copy: Public Works Green Copy: File Yellow Copy: Report Copy Pink Copy: Recipient Gold Copy: Officrr Appeal notice Rey, 04/03 <br />Nanie, Last <br />First <br />"ti i e- 6 <br />Middle <br />Ai Ar i A- 14 <br />J,V <br />DOB: <br />5 <br />Race.-Sex <br />Re. Address: <br />Cip <br />State <br />� Ivtllle <br />Zip <br />Res- Phone: <br />Work Phone: <br />a <br />III! IIIIII)IN11111111 111111 111 <br />1: 1 IN! <br />,V Entering in or using all City of Eugene parks, open spaces or facilities. <br />This rLstriction of use is effective beginning on Lvlao_441 and shall remain in eruct until <br />If you enter in or use any City of Eugene park, open space or facility during the effective period of this Notice, you may be <br />arrested and charged with criminal trespass in the second degree. <br />Pursuant to Park and Open Space Rule R-1.074 you aTe entitled to an informal hearing to contest this Notice. Arequestforan <br />lctd_wAh_iheRj&" Qje-t S�acc Division Director ("the Division Directoe') <br />KISSINGER I MIFIIIII 11' 1 i I <br />The Division Director shall schedulc a time and place for the informal hearing to be conducted, which shall be not more than <br />72 hours (exclusive of weckcnds) of receipt of the request for hearing. At the infomial hearing the Division Director wilt 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 info al 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 firne shown above by: <br />(Sign re of person issuin&' <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above, <br />U <br />(Signature of person being issued the notice <br />Whke Copy: Public Works Green Copy: File Yellow Copy: Report Copy Pink Copy: Recipient Gold Copy: Officrr Appeal notice Rey, 04/03 <br />