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11 <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 />info al hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Director") <br />within 48 hours (exchisive of weekends) of receipt oft is Notice at the following address: 1820 Roosevelt, Blvd., Eugene, 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 />72 bours (exclusive of weekends) of receipt of the request for hearing. At the infonnal hearing the Division Director will only <br />consider testimony from you, City peTsonnel 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 />(,Signature of person Issui ring notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(Signalure. of person being issued the notice) <br />wh Cr:py: P U b I ic works Green Copy: He Yellow Copy Report Copy Pink Copy: Recipient G cl d Copy : Officer A ppual notice Rev, 04 .1 3 <br />N m,� t First Middle <br />DOW <br />Rao�/S�x. <br />z <br />, E� <br />N <br />Xj, X's Y— q a7 <br />Res. Address: City <br />State <br />Zip <br />lea. Phone: <br />Work Phone: <br />11 <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 />info al hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Director") <br />within 48 hours (exchisive of weekends) of receipt oft is Notice at the following address: 1820 Roosevelt, Blvd., Eugene, 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 />72 bours (exclusive of weekends) of receipt of the request for hearing. At the infonnal hearing the Division Director will only <br />consider testimony from you, City peTsonnel 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 />(,Signature of person Issui ring notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(Signalure. of person being issued the notice) <br />wh Cr:py: P U b I ic works Green Copy: He Yellow Copy Report Copy Pink Copy: Recipient G cl d Copy : Officer A ppual notice Rev, 04 .1 3 <br />