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(Description of the violation.) <br />This restriction of use is effective beginning onO - 2-) 1'3 and shall remain in effect until <br />o4 - z i <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 info al 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 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 receipt of the request for hearing, At the informal hearing the Division Director will only <br />consider testimoni frorn vou, Citi iersonnel involved in the incident that resulted in this Not6e, ani othir witniiiii tj the <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 />— — ------ — - - - - -------- <br />(Signature of person Jis uing/delivering notice) <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 Copy: Public Works Greer Copy: File Yellow Copy: Report Copy Pink Copy: Recipient Gold Copy; Officer Appeal notice fee. 04103 <br />Name: Last First Middle <br />D08: <br />—? <br />Race/s, <br />Juck�yq qICD 6 <br />M <br />LW <br />Res. Address: City <br />tState <br />Zip <br />Res. Phone: <br />Work Phone: <br />(Description of the violation.) <br />This restriction of use is effective beginning onO - 2-) 1'3 and shall remain in effect until <br />o4 - z i <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 info al 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 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 receipt of the request for hearing, At the informal hearing the Division Director will only <br />consider testimoni frorn vou, Citi iersonnel involved in the incident that resulted in this Not6e, ani othir witniiiii tj the <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 />— — ------ — - - - - -------- <br />(Signature of person Jis uing/delivering notice) <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 Copy: Public Works Greer Copy: File Yellow Copy: Report Copy Pink Copy: Recipient Gold Copy; Officer Appeal notice fee. 04103 <br />