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11111111� ;::: IIIIII '"'I pliIIIIIIIIF I i�'llilillillill 11111 111 ll <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />X <br />6Y) <br />The basis for this Notice of Restriction of Use is that on O you violated Section I. V10 of the Park <br />and Open Space Rules, andlor Section L) I' of the Eugene Code, 1X371, and/or 0 RS To wit, you: <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 testimony fro rn you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the <br />incident. 'rhe 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 />(Signature of person issuing/delivering notlec) <br />5;u U-f6,4 / Vc? <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 Cop. y: Public Works Green Copy: File Yellow Copy: Report Copy Pink CtVy: Recipient Gol Copy : 0 fficer A ppeal notice R e% . 04!0 <br />Nanie: Last First Middle <br />DOB: <br />Raee/Sex <br />A <br />'s fe. <br />Res. Address: City <br />St 'Ile <br />I <br />h - <br />Res. e <br />rk Phone: <br />11111111� ;::: IIIIII '"'I pliIIIIIIIIF I i�'llilillillill 11111 111 ll <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />X <br />6Y) <br />The basis for this Notice of Restriction of Use is that on O you violated Section I. V10 of the Park <br />and Open Space Rules, andlor Section L) I' of the Eugene Code, 1X371, and/or 0 RS To wit, you: <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 testimony fro rn you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the <br />incident. 'rhe 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 />(Signature of person issuing/delivering notlec) <br />5;u U-f6,4 / Vc? <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 Cop. y: Public Works Green Copy: File Yellow Copy: Report Copy Pink CtVy: Recipient Gol Copy : 0 fficer A ppeal notice R e% . 04!0 <br />