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Entering in or using all City of Eugene parks, open spaces or facilities. <br />9 <br />If you enter in or use any City of Eugene park, open space or facility during the effective period of this Notim, 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 />within 48 hours (exclusive ci weekend s) of receipt of this Notice at the fol ]owing address: 1820 Roosevelt, Blvd., E ugene, 0R <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 hours 1 of weekends,� ofrecci%t of the rewmest for heaTmM, At the informal hearing the Division Director will on[ <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 reni,ain in effeet 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 three shown above by: <br />---------------- <br />(Signature of pci-son issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(Signature f person being issued the notice) <br />White te Copyy Pudic WorLs Green Copy; File Yellow Copy: Report Copy Pink Copy: Recipient Gold Copy! Offiecr Appcai notice Rev- 04,03 <br />Name: Vt Fjrsl Middle <br />DOB: <br />o v) <br />Race"Sex <br />City <br />ties. Address� I <br />State <br />I Zip <br />Res. <br />Work _E � <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />9 <br />If you enter in or use any City of Eugene park, open space or facility during the effective period of this Notim, 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 />within 48 hours (exclusive ci weekend s) of receipt of this Notice at the fol ]owing address: 1820 Roosevelt, Blvd., E ugene, 0R <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 hours 1 of weekends,� ofrecci%t of the rewmest for heaTmM, At the informal hearing the Division Director will on[ <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 reni,ain in effeet 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 three shown above by: <br />---------------- <br />(Signature of pci-son issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(Signature f person being issued the notice) <br />White te Copyy Pudic WorLs Green Copy; File Yellow Copy: Report Copy Pink Copy: Recipient Gold Copy! Offiecr Appcai notice Rev- 04,03 <br />