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PRIMARY REASON FOR REQUEST: Check ONLY ONE REASON …

PRIMARY REASON FOR REQUEST: Check ONLY ONE REASON …

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Rev: 10/2017sac Date: School District of Manatee County . OFFICE OF STUDENT ASSIGNMENT 1400 1st AVENUE E PALMETTO FL 34221 School Year: PHONE (941) 708-4971 FAX (941) 708-4976

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