This survey is carried out in accordance with Cork City Council’s Data Protection Privacy Statement available at http://www.corkcity.ie/

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* 1. Are you making representation/submissions on behalf of?

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* 2. Are you?

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* 3. Are you in favour of?

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* 4. If you wish to increase or decrease the LAF, by what range do you wish to adjust the LAF?

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* 5. Are you aware that a change in the Local Adjustment Factor (LAF) will have an impact on the level of services provided by the Local Authority?

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* 6. Additional comments/observations

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* 7. Name

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* 8. Address