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City of Gem Lake Zoning Request Application - Page 2 of 2 Office Use Only Has a request for zoning consideration for this property ben previously considered? Yes No If yes, what date: Was the request for zoning consideration for this property approved? Yes No If yes, what date: Has any request for zoning consideration for this property owner been previously considered? Yes No If yes, what date: Was the request for zoning consideration of this property owner approved? Yes No If yes, what date: Date Request Received: Date Application Complete: Conditional Use Permit paid: Application Fee: Escrow Fee: Application Card Processing Fee: Escrow Card Processing Fee: Application Fee Total: Escrow Fee Total: Check No.: Receipt No.: Date Application Approved: Date Permit Denied: Comments