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LOCATION (PARK/OPEN SPA CE).—ANJ_nC---_,;��l Lc—�L G —Octc� <br />I 11111111 Iiiiiiii NIPPON <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />- !DID <br />This restriction of use is effective beginning on 0 kb , and shall remain in effect until 0 <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. 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 />wi thi n 48 hours (exclusive of weekends) of receipt of this Notice at the fol lowing address: 1820 Roosevelt, Blvd., E u gene, 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 />f thc- rt- mf-,qt f r hear - At the infiormal hearinp the Division Director will oniv <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 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 />— ---------------- <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 Green Copy: File Yel i o. w Copy Repon Copy Pink Copy: R"ilocrit G o I d Copy! O ffice Ap peal notice Rev 04,103 <br />Name: 1. t First Middle <br />DO <br />Race/Sex <br />^ j L f �•- <br />fsi <br />vw, <br />Res. Add]FeSS: City <br />State <br />Zip <br />Res, Phone: <br />Work Phone <br />I 11111111 Iiiiiiii NIPPON <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />- !DID <br />This restriction of use is effective beginning on 0 kb , and shall remain in effect until 0 <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. 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 />wi thi n 48 hours (exclusive of weekends) of receipt of this Notice at the fol lowing address: 1820 Roosevelt, Blvd., E u gene, 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 />f thc- rt- mf-,qt f r hear - At the infiormal hearinp the Division Director will oniv <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 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 />— ---------------- <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 Green Copy: File Yel i o. w Copy Repon Copy Pink Copy: R"ilocrit G o I d Copy! O ffice Ap peal notice Rev 04,103 <br />