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LOCATION (PARK/OPEN : PACE): <br />5- �e r (/os <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 />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 from you, City personnet involved in the incident that resulted in this Noticc, 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 N otice of Exclusion was del ivers d to the person seaweed at the top of this 6Non - at the date and ti e shown above by: <br />13 <br />(Si re of person issuing/delivering noti•e,) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />white Copy Public Works Green Copy: File Yellow Copy: Rcpori Copy NA Copy <br />M <br />Nana e: Last First Middle <br />L [__c F" <br />DOB: <br />70 <br />Race/Sex <br />4 <br />(,A <br />Res. Address: City State I Zip <br />9­_ 1111011c" <br />Work hone: <br />5t <br />� "_ <br />q0j <br />5- �e r (/os <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 />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 from you, City personnet involved in the incident that resulted in this Noticc, 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 N otice of Exclusion was del ivers d to the person seaweed at the top of this 6Non - at the date and ti e shown above by: <br />13 <br />(Si re of person issuing/delivering noti•e,) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />white Copy Public Works Green Copy: File Yellow Copy: Rcpori Copy NA Copy <br />M <br />