Streetscape Painting & Signage Scheme 2019

BALLINCOLLIG CARRIGALINE MUNICIPAL DISTRICT Application Form

CONSENT: Your personal data is necessary for the administration of the Streetscape & Signage Scheme 2019. If you do not provide consent we will be unable to consider your application.  Owing to new boundary changes some areas will be transferring to City Council from 1st June 2019 and we may be required to share your personal data with Council. I give permission for the data provided to be processed for the purpose stated above 

By ticking this box you consent to Cork processing the personal data provided by you in line with the terms of our Privacy Policy available at https://www.corkcoco.ie/Privacy-Policyor in hardcopy from our offices at County Hall, Road Cork, Ireland and to having your information processed for the following purposes: administration of the Streetscape Painting & Signage Scheme 2019

Signed ______Date______

Applicants Name & Address:

(Please specify building owners name if different)

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Tel No: ...... Mobile No: ......

Email: ......

Address of Premises to be upgraded:

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Colour Proposed: ......

Contractors Quotation: (include VAT in Total) ......

Tax Clearance Payments: (RTC Details)......

Email to : [email protected]

Privacy & Data Protection: Personal information collected by is done so in order for us to process your application for a grant under the Carrigaline Municipal District 2019 Streetscape Paint Scheme. Legally we can process this information as it is necessary for us to comply with our statutory/legal obligations. The protection of your personal data is a key priority for the Council and your data will be processed in line with our Privacy policy which is available at https://www.corkcoco.ie/Privacy-Policy or in hardcopy from our offices at County Hall, Carrigrohane Road Cork, Ireland. Should you have any questions about our privacy policy or the information we hold about you please contact us by email to [email protected] or write to us at Data Protection Officer, Cork County Council, County Hall, Carrigrohane Road Cork, Ireland.