Form 1

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“FOR the establishment of a mosquito abatement district in . . . . . . . . . . (county), . . . . . . . . . . (city), . . . . . . . . . . (designated area) and the establishment of assessed benefits on real property in the district in an amount not to exceed ten percent (10%) of the assessed valuation of real property in the district, to finance the district . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . □ AGAINST the establishment of a mosquito abatement district in . . . . . . . . . . (county), . . . . . . . . . . (city), . . . . . . . . . . (designated area) and the establishment of assessed benefits on real property in the district in an amount not to exceed ten percent (10%) of the assessed valuation of real property in the district to finance the district . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . □.”

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