Form TC55-3 "Notification of Change in Oversight/Ownership of a Structure" - Kentucky

What Is Form TC55-3?

This is a legal form that was released by the Kentucky Transportation Cabinet - a government authority operating within Kentucky. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on June 1, 2016;
  • The latest edition provided by the Kentucky Transportation Cabinet;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form TC55-3 by clicking the link below or browse more documents and templates provided by the Kentucky Transportation Cabinet.

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Download Form TC55-3 "Notification of Change in Oversight/Ownership of a Structure" - Kentucky

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KENTUCKY TRANSPORTATION CABINET
TC 55-3
Rev. 06/2016
KENTUCKY AIRPORT ZONING COMMISSION
Page 1 of 1
NOTIFICATION OF CHANGE IN OVERSIGHT/OWNERSHIP OF A STRUCTURE
I. REQUIREMENT FOR NOTIFICATION OF CHANGE
In Accordance with 602 KAR 50:060, Sec. 3:
“Any change or transfer in the care, custody, control, or ownership of a structure previously permitted by
the Commission shall require the original owner to notify the Commission in writing of the name and address
of the new owner on a form prescribed by the Commission.”
II. ORIGINAL OWNER
A. KAZC AERONAUTICAL STUDY NUMBER
B. ORIGINAL OWNER (name)
(street address)
(city)
(state) (ZIP)
C. BRIEF DESCRIPTION OF STRUCTURE
0
0
D.
Latitude (
,’,”)
Longitude (
,’,”)
STRUCTURE
COORDINATES
E. NEAREST CITY/TOWN
1
above mean sea level
2
above ground level
F. NEAREST PUBLIC AIRPORT
1
2
1
G. SITE ELEVATION (AMSL)
STRUCTURE HEIGHT (AGL)
OVERALL HEIGHT (AMSL)
III. NEW OWNER (KAZC permit automatically transfers to new owner.)
A. NEW OWNER (name)
(street address)
(city)
(state) (ZIP)
B. MISCELLANEOUS REMARKS & COMMENTS
IV. SIGNATURE (original owner/KAZC permit holder)
DATE
KENTUCKY TRANSPORTATION CABINET
TC 55-3
Rev. 06/2016
KENTUCKY AIRPORT ZONING COMMISSION
Page 1 of 1
NOTIFICATION OF CHANGE IN OVERSIGHT/OWNERSHIP OF A STRUCTURE
I. REQUIREMENT FOR NOTIFICATION OF CHANGE
In Accordance with 602 KAR 50:060, Sec. 3:
“Any change or transfer in the care, custody, control, or ownership of a structure previously permitted by
the Commission shall require the original owner to notify the Commission in writing of the name and address
of the new owner on a form prescribed by the Commission.”
II. ORIGINAL OWNER
A. KAZC AERONAUTICAL STUDY NUMBER
B. ORIGINAL OWNER (name)
(street address)
(city)
(state) (ZIP)
C. BRIEF DESCRIPTION OF STRUCTURE
0
0
D.
Latitude (
,’,”)
Longitude (
,’,”)
STRUCTURE
COORDINATES
E. NEAREST CITY/TOWN
1
above mean sea level
2
above ground level
F. NEAREST PUBLIC AIRPORT
1
2
1
G. SITE ELEVATION (AMSL)
STRUCTURE HEIGHT (AGL)
OVERALL HEIGHT (AMSL)
III. NEW OWNER (KAZC permit automatically transfers to new owner.)
A. NEW OWNER (name)
(street address)
(city)
(state) (ZIP)
B. MISCELLANEOUS REMARKS & COMMENTS
IV. SIGNATURE (original owner/KAZC permit holder)
DATE