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I itill i I I I 1 11111111 1 11 1! 1 11; ��� 1 11 111 <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />This restriction of use is effective beginning on 41345-,, and shall remain in effect until <br />If you enter in or use any City of Eugene park-, open space or facility during the etTectivc 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 />inCon hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Director") <br />within 48 hours (exclusive of weekends) of receipt of this 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 hours (exclusive of weekends) of'reccipt of the request for hearing. At the informal hearing the Division Director will only <br />consider testimony from you, City p ersonnel involved in the incident that resulted in this N otice, 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 rernain 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 />re of person issrri notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(S nature of pcAlm being issre the no <br />White Copy: Public Works GrCen Copy: File Yellow Copy: Repod Copy Pink Copy: Rccipent Gold Copy; Officer Appcul no6cc Rev- 04?03 <br />Marne: Last j r-1 N—fiddle <br />4 <br />DOB� <br />Rae <br />Race/ C�� <br />Res. Address: City <br />State <br />Zip <br />Res. Phonia.- <br />Phtnie: <br />( <br />I itill i I I I 1 11111111 1 11 1! 1 11; ��� 1 11 111 <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />This restriction of use is effective beginning on 41345-,, and shall remain in effect until <br />If you enter in or use any City of Eugene park-, open space or facility during the etTectivc 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 />inCon hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Director") <br />within 48 hours (exclusive of weekends) of receipt of this 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 hours (exclusive of weekends) of'reccipt of the request for hearing. At the informal hearing the Division Director will only <br />consider testimony from you, City p ersonnel involved in the incident that resulted in this N otice, 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 rernain 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 />re of person issrri notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(S nature of pcAlm being issre the no <br />White Copy: Public Works GrCen Copy: File Yellow Copy: Repod Copy Pink Copy: Rccipent Gold Copy; Officer Appcul no6cc Rev- 04?03 <br />