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11,11,111r 511 ill 11 1 .11 1 <br />DATE, OZ <br />LOCATION (PARKJOPEN SPACE): <br />TIME: <br />�t . J <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall remain in effect 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 are entitled to an informal hearing to contest this Notice, Arequest for an <br />infort-nal hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Director") <br />within 48 hours (exclusive ol'weekends) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />47402, <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 testin from i0ou, Cit ersonnel involved in the incident that re%ulted 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 reirluain 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 />�As� 1��Rqu <br />CASE #: 15 — <br />(Signature of person issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(Signature of person being issued the notice) <br />White Copy: Public Works Grc7cn Copy: File Yvll,)w Copy: ReNri Copy Pink Copy: Recipient Gold Copy: Officer A ppea t n c su cc Rev, 041'03 <br />Marne. Last First Middle <br />DOW <br />C <br />W (S DAJje- <br />DW As, P <br />Res,. =Addrcs&% city <br />State <br />Res. Phorie: <br />Woyk Phone: <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall remain in effect 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 are entitled to an informal hearing to contest this Notice, Arequest for an <br />infort-nal hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Director") <br />within 48 hours (exclusive ol'weekends) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />47402, <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 testin from i0ou, Cit ersonnel involved in the incident that re%ulted 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 reirluain 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 />�As� 1��Rqu <br />CASE #: 15 — <br />(Signature of person issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(Signature of person being issued the notice) <br />White Copy: Public Works Grc7cn Copy: File Yvll,)w Copy: ReNri Copy Pink Copy: Recipient Gold Copy: Officer A ppea t n c su cc Rev, 041'03 <br />