<p> SUPPORTED RESIDENTIAL FACILITIES ACT 1992 SECTION 24 (3) Requirement to furnish specific information (licence application) (Part 4)</p><p>TO: Name of the licence applicant</p><p>OF: Name of Applicant Address</p><p>WHEREAS you are the licence applicant of the supported residential facility known as……………… situated at ……………………………… Certificate of title: ……………..</p><p>TAKE NOTICE that additional information is required in your application for a licence.</p><p>Insert request details</p><p>DATED</p><p>ENVIRONMENTAL HEALTH OFFICER</p><p>RIGHT OF APPEAL</p><p>You may, within 28 days of the Notice being imposed, appeal against any of those requirements to the Administrative Appeals Division of the District Court pursuant to s32 (2) of the Supported Residential Facilities Act, 1992.</p>