Household

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* 1. Please indicate the community in which you own property and/or reside within the Plan area:

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* 2. If you reside full-time in the Plan area, how long have you resided in your community?

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* 3. If you do not currently reside on your property full-time, please indicate as to why:

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* 4. How many members are within your household:

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* 5. Do you own or rent the property you currently reside in?

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* 6. Please indicate the type of housing in which you reside:

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* 7. Please indicate the age of your dwelling:

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