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City of Lake Stevens
Lake Stevens Annexation Census
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All information submitted will remain confidential per state law - RCW 42.56.615
Please complete for each person residing in your household including children.
Household Address
Person 1 Name
Person 2 Name
Person 3 Name
Person 4 Name
Person 5 Name
Person 6 Name
Person 7 Name
Person 8 Name
Do each of the individuals listed above live in your home on a full time basis the majority of the year?
Yes
No - if no, please call us at 800 579-6830
Submit Census
Thanks for submitting!
Do You Have Any Questions?
More than 8 people in your home? College Students? Military? ADU?
Call us at 800 579-6830
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