Shall a measure be adopted to assess a special tax of $65 per annum per parcel regardless of the size for up to two parcels owned by each unique landowner regardless of which county the parcels are located, the special tax will be assessed only if the Southern Cascades Community Services District is formed and shall be collected in the same manner as taxes on real property, commencing in the 2014-2015 fiscal year, with the revenue to be used for local ambulance, emergency medical response and training and any lawful purpose of the Southern Cascades Community Services District? (NOTE: Passage of a Special tax is required for the District to be formed.)