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241609 Orf�insl to City Clerk ` • ORDINANCE 2416pg � COUNCIL FILE NO i: PRESENT�D BY �� ORDINANCE NO � An ordinance amending the Zoning Code, Chapters 60 to 64, inclusive, of the Saint Paul Legislative Code, pertaining to Use Districts, Height Districts and Rezoning of certain properties in the City of Saint Paul, as amended. THE COUNCIL OF THE CIlY OF SAINT PAUL DOES ORDAIN: Section l. That the Zoning Code, Chapters 60 to 64, inclusive, of the Saint Paul Legislative Code, pertaining to Use Districts, Height Districts and Rezoning of certain properties in the City of Saint Paul, as amended, be and the same is hereby further amended so as to rezone the following described property from "A" Residence District to Commercial District, to--wit: The south 15 feet o� Lot 11, Lots 12, 13, 14, 15, 16, Nilsson' s Subdivision of Lots 9 and 10, Block 4, Rogers and Hendrick� s Aere Lots #2; situate on property located at the northeast corner of Maryland and Prosperity Avenues in the City of Saint Paul. Section 2. This ordinance shall take effect and be in force thirty (30) days from and after its passage, approval and publica- tion. JAN 2 21969 Yeas Councilmen Nays Pa�sed by the Councit Carlson Dalglish Meredith � In Favor Peterson gainst Sprafka Tedesco ;�AN 2 21g6� . President B � �� A J�' APPr - � . 1 k � May r �� . — Form approved Corporation Counsel By PUBLISHE� JAN 2 5 1969 r � CITY OF• SAINT PAUL, MINNI:SO'1'A PLTITION TO �1ht�ND CfIAI''I'ERS 60 thru 64 OF TfiE LEGISLATIVE (ZONING) CODE Note: The signer should ap�raise himsel� of the uses permitted under the new classi- fication before signing tl�is petition. For further information about the rezoning of property, call the Board of Zoning Office at 223-4151. (Please type or print) , � Date; � r� �\ TO TFi� IIONORABLE MAYOR AND CTTY COUNCIL � � / �\ - c/o the City Clerk, Itoom 386 City Hall � City of Saint F�aul, hlinnesota �� . � Pursuan-� t4o Section 64.06 of the Legislative Code, we, the undersigned owners o:L two-thirds of the several descriptions of real estate situated within 100 feet of the real estate affected, hereby acquiesce; and we, the owners of 50%, or more of the frontage to be reclassified, petition }�our Honorable Body to rezone the� foliow- ing described property; (legal description and street address) L_ v7-s /2� ! 3� ��/; �5;;lL�'�Yt;E>- -�. �Z {� / 5 l�1. c ," L.G'i /! /✓/�L .iJ� � ✓ t�cl �v� !c t� L . c.� .i CC � ' � _ , �= s .ti �� c�s r tic , r � k f i�c , �.�s �. !-1�.:.�1 r��i�s ��t�L, �o :-5 .� .,_ l � C�' G C i�N:` � t!l �r v N".: v -1 1'l� ;�t �>>h•;� r' Pi�GSr'�-tZtr`� from ��_$ � j)('!�i' (�� i_ District to C�C� I�z N1�=/�C1/11_ District, for the ✓ purpose of installing, constructing and/or operating the following: • (describe briefly the proposed facility) A bank building compatible with the residential characteristic of the neigr�bor.hood. ° RECORD OWNER SIGNATURE LOT BLOCK ADDITION Sub ject Property: . � •�:,�.:. ��., r��/+• a F P�o-r.�-: � v ` V0I71 Franer ,�c,t'C� %/f y,� � t ��2:n cl r��i� /1 c 'r:��_b ts h/: '� J �: D�: Laurence H. Lee . r.- : -,� -� • .,- � l`{C - t7 �?,--t.� n �7/ T z-�!, �`\ 2 L ' �. f � J Russell B. I�rIoffat ��/ ��-_ �,� `�-f�5 � (3�.v��rsUl�.��<<t �cldct,a:t � , � . NiIlSJ:1y �+p L f'��'�LS �Y /C � ]Y�nald H. Neum�.nn �,' c�� `�,�4�.�v �;✓ � � � R�<.r� +H�•��1r:tks/1;,ic-f.�t�N„ � . ' "� ,_ , , , �c;tyt: H.J. Gof�in � ��y ti-` � ��--� , ;�� .S::�t+... 'i_7� J�9� i;�� 7_ , � ] v r N,�Isa�,'s 5�b � �k�c5 �fd �c !/ �72'S• Ci��'i. Hutchinson � ; .l� �'. � ' ��.L;i�- /�a` / � Dctrs r,(ttKC:r.•_ks �:,I4 �o�� ^1� Z- I1'iY'. �'cIl'iT'S. $. biontanari � ,., ��,_ ' 1 �/ -;,1, y �.. �'- / � ' /�'�/,/,r`,�-'=!'i�,..._,f,�� /%�r � � i�L V I. Ulderico I�,Iariani j ��'-�C.��-et;' `J r�L4c� < c�c - �.Y S�_�'r,�:L �'?/ j i `i, f: 7-7 � . , ;- �IC,r,,ri, N�l�a..,'s s.;l� :.►— �.,c:s 4tra ''Gertrude Freiseis � <,/%�-•�, .,` ;' -, ;, r a,,�, 7 `..,�;.;,_ < <,N„ L _ / .�� .J� �ti / �cc�. 's {-f� ks/i ie-�c A1 G. Anderson ``,; ^.�^ � � .z� ^./-(,,r� -i..� 5 --..�:��., �. 7� T :��t, I: �. �.. _ . �, c.� r.: • ._� -v an � ' -v r � � c� .-��: r:- r: m � u ° --_° �:� State of Minnesota ( �n --- County of Ramsey ( SS �.� ", . . � c> �;; . - � �� i Harold �I. I,arsen being first duly sworn, deposes and si:ates that he �' is the person who circulated the within petition consisting of one pages• , that the parties described above are� the owners respectively of the lots placed immediately following each name; that this petition was signed by each of said owners in the presence of this affiant, and that the signatures above are the true and correct signatures of each and all of the parties so described. Subscribed and sworn to before me `� � this �7 day of Sen�ember ,:^=`_.Q,-,� f�1'� • �'t^�--�_:-._,` r..�l� � �� Address; 1626 Craig Place --c��:...-'�'�.�.�� -�..�G-.t. _� Telephoiie No. 77�--1673 Notary Public, Ra ey County, Minn. My commission e�:pires ��, Approved as to form 1/4/65 FGI 1/5/65 PAUL C. tdU�NJ�GI.E M`�� Office of the Corporation Counsel Notary Pub'i^, H.^."n�^In Ceunty. P�iy Conrn�_sl:�. £�:pires bA�r. 2Z, 197_Q . - _. _� - --- - -- - -_ --_.._, . _.. _ _ _-. - _ _ _ _ . 1 . • • '^ � ' A� � . ' ., CITY O�' SAINT PAUL, MINNESOTA ! ' PETITION TO AMEND CHAPTERS 60 thru 64 OF THE LEGISLATIVE (ZONING) CODE Note: The signer should appraise himself of the uses permitted under the new classi- fication before signing this petition. For further information about the rezoning of property, call the Board of Zoning Office at 223-4151. (Please type or print) � Date; � � TO THE HONORABLE MAYOR AND CITY COUNCIL � c/o the City Clerk, Room 386 City Hall -('. � City of Saint Paul, Minnesota �y �� .,�� Pursuan# ,tp Section 64.06 of the Legislative Code, we, the undersigned owners of two-thirds of the several descriptions of real estate situated within 100 feet of the real estate affected, hereby acquiesce; and we, the owners of 50% or more of the f rontage to be reclassified, petition your Honorable Body to rezone the follow- ing described property; (legal description and street address) �.. uT5 /2f / 3� ��{�.f,�#'t�'�h.�s- �z✓Z`h /��T. Ci- �0"T /!� /V/LLSUN,S 5./ prL �vt$/av�. C � LCTS / �" %0 � ��OC./� � /�Ot` �,r S �t' c /-F� i.dr�c,lGS A�-r� �o�s /V� �. r. �/,C.' C.cf�N,T�. !?J�r1fZY �/lue� � PRus 'r'r-_r'Ztry from �r 5 ► DI-NT /l� L District to C.G M M�/ZCfAL District, for the � purpose of installing, constructing and/or operating the following; (describe briefly the proposed facility) A bank building compatible with the residential charaeteristic of, the neighborhood. RECORD OWNER SIGNATURE LOT BLOCK ADDITION Subject Property; � ��r-s�., l�G AY oF Ru pe-p-s vern Franer �- 3 � ,-l��-��r i�r�S ��rv�,�s nr� � �/ / -��L�'`�J) @—�:U r' Laurence H. Lee f �''. ;�� .-.,. 7 �4,(o z� 5��.-t�ti.. �7� t Z`i, K 2'L Russell B. A�offat ' `�+Sr � 13bv�rs�{•w.�tt �d.d�t+o�. �-� -�C/J9t_LG7' �✓ 7 Ni'I f se h s y�Io c F o cs °J�+!�+ �. D011A.LCl H. Neumann �, �/ � / � /loc�rs �-NLwJ+-�zksA�.vLat�Nd Z- , � �vp� H.J. Goffin �. ' �' jS'0 .�7 S�%�-�t+•�. �.7� T �9, �� 7! F� �,_9 ` f Nll�Son�5 5vb e F'rt�Sl k°� �+T � DBrs. C.E. Hutchinson .1/ �,� .,' 7' �7 e f�-s tP�fe��lr��ks A�r«�ati Ivu Z � C /� Mr. &Mrs. B. Montanari � � (�, � / �/G�,�,c-" �,/,� �`� � f � w� Ulderico Mariani j Ct" U o�a- z.Y S e.�t��:.,, ;�'7� j 2`l, �t '�Z ' - %f > ,��!'� �.1 N��:.,,s sun �i' Lots 9+ �� '" Gertrude �reiseis i�;�„ ,�`' rrr�. 7 � c,-s rN�•.�Y,�ksh��-L.a�N� t A1 G. Anderson �� . / � ^ �'� / G 4rZ 2'1 5 Q:��.• 2 7� fi �.y; 1? z z � � - / /�1 '1�5�1�i S t1 h1 J� �,0��S `I�F �0 �1 p +L�-S *��.rlr�c�s ALFr,Le�tNa L ��y(, ' �,.sT i eFrc r w -� �L'°��' -�%-� � idF dTS 7 /�'s'•li Hareld �[ Ls�rs an O /�- �3 � / N;r�g�� S� <�� 9� �� C,L.� ./�RA/!-t.w ��.,(,i s�-l4 l Y�a o o.�s r /�e•, '� �/a c r�_/r::t, /vc.c. � C� � �� 'r' (" - rn v F j �� State of Minnesota ( � _; �• ?-�,� � s s ?� � �r County of ftamsey ( , � ��..� c� �;; .� � � Harold M. LarBen being first duly sworn, deposes and states that he �`� is the person who circulated the within petition consisting of one pages• ► that the parties described above are the owners respectively of the lots placed immediately following each name; that this petition was signed by each of said owners in the presence of this affiant, and that the signatures above are the true and correct signatures of each and all of the parties so d scribed. Subscribed and sworn to before me this 17 day of September �� • �..�' � Address: 1626 Craig Plsce ,.�-�"-;i' ,/� -L.--��rsd�'--• '�r-'� Telephorie No. 771-1673 Notary Public, Ra y County, Minn. My commission expires '��m Approved as to form 1/4/65 FGI 1/5/65 PAUL C. Nl1�i�A�•E Office of the Corporation Counsel Notary Public, HQnnoPln County�:Minf► Niy CommissL�. E::�ires Mar 23_,1�5�� ' � - Daplicste to Printer ORDINANCE 2�1�Qg � COUNCIL FILE NO. PRESENTED BY . ORDINANCE NO �� An ordinance amending the Zonin,� Code, Ghap�ers 60 to 64, inel.usive, af the Saint Paul Legislative Code, pertaining to Use Distr3cta, Height Di�trict� and Rezonin� of certain propertiee in the City o� Saint Paul, as amended. THE COUNCIL OF THE CDY OF SAINT PAUL DOES QRDA�N: Section 1. That the Zoning Code, Ch�pters 64 to 64, inelusive, of the Saint Paul Legis18t3ve Code, pertainin� to Use Diatricts, Height Dietriete and Rezoning of certain propertie� in the City o� Saint Paul, as amended, be and the same is hereby Yurther amended so as to rezone the tvllowin� described property from "A" Reaidenee Distriet ta Commercial Di�trict, to—wita The gouth 15 feet of Lot 11, Lot� 12, 13, 14, 15, 16, Nilsson' s Subdivision oi Lots 9 and 10, Bloek 4, Rogera and Hendrick' s Acre i�ots ;�2; situate on property located at the northeast corner of Maryland and Prosperity Avenue$ in the City of Saint P$ul. Seetion 2. This ordinance shall tal�e ef�eet and be in force thirty (30) daqs from and a�ter its paesa�e, approval and publica— tion. - 4 JAN 2 � 1969 Yeas Councilmen Naya Passed by t Council Carlson Dalgliah Meredith In Favor Peterson Sprafka ��Against Tedesco Mr. President (Byrne) �A� 2 2 �96� Attest: Approved: City Clerk Mayor �� Form approved Corporation Counsel By �( � ' ' y -� s DEPARTMENT OF FINANCE :L �°-fi ( b ,� CITY OF SAINT PAUL � MINNESOTA I 13 Cour+House,66102 JAMES J. DALGLISH, Commissioner LOUIS H. MeKENNA, Depu+y Commissioner Phone:223-4646 October 8, 1968 To the Council City of Saint Paul Gentlemen: I have checked the attached petition of Harold M. Larsen, filed in the matter of reaoning, The South 15 feet of Lot 11, Lots 12, 13, 14, 15 and 16, Nilsson's Subdivision of Lots 9 and 10, Block 4 of Rogers and Hendricks Acre Lots No. 2. The property is locat�d on the north�ast corner of Maryland Avenue and Prosperity Avenue, from a Class "Residential District" to a "Com�nercial" District, and find that said petition is insufficient. YosYS very.,.,t�u�Y, '' � ;' �, ��, �� , :James J. D .�glish�' ;`Coffiissio�er of nance s xe: X-60U c.c. Mr. Ames N. R. Heiden O , J BOARD OF ZONING, CITY OF ST. PAUL 1010 COMMERCE BUILDING • ST. PAUL,MINNESOTA 55101 • PHONE: 223-4151 241�� January 2, 1969 Mr. Harry E. Marshall City Clerk Room 386 City Hall Dear Sir: This is written in response to the petition of Harold M. Larsen to rezone from "A" Residence to Commercial,property located on the northeast corner of Maryland and Prosperity Avenues. This property is described as the south 15 feet of Lot 11, Lots 12, 13, 14, 15, 16, ililsson's Subdivision of Lots 9 and 10, Block 4, Rogers and Hendrick's Acre Lots #2. It is proposed to develop the site with a bank and related parking. This matter was considered at the November 21, 1968 Board of Zoning meeting. The staff reported that past zoning actions have set a precedent in changing the character of Maryland Avenue. However, the following items were noted against the rezoning: 1) the proposal represents spot zoning; 2) the Traffic and Accident Section of the Police Department recommends that no comanercial establishment be permitted on this site which would increase left turns off Maryland Avenue; 3) the proposal would increase proliferation of an already sprawling commercial development in this area; 4) tne area contains large commercial and industrial zoned areas that are vacant; 5) Comr�rcial use will have an adverse effect on adjacent single- family homes; and 6) the bank facility is already located nearby in a suit- ably zoned area. The representative of the bank stated that the neighbors are in favor of the development, the proposed facility would not add to the traffic on the street as bank customers would come primarily from the area north of Maryland Avenue, and that the alley would be used as an entrance to the proposed facility with traffic exiting to Prosperity Avenue away from �Iaryland After subsequent discussion, the Board of Zoning voted to recommend approval of this petition to rezone from "A" Residence to Commercial. . Very truly yours, � q j i r . " �A��- ' , �, f�j ��., �. P: i xy -� � � '�-( ��••f_ � / �George G. �McPartlin Secretary GGMCP:cv CLS �„r �, Z•F. #6622 �',�� r � � 8� ' Harry E. Marshall ' • �lT'' �F Albert B. Olsoe - City Clerk and ��4�y� Counail Recorder Commisaioner of Repistratwoyt o �a. �� h`y OFFIC6 OF THE CITY CLERK CITY OF SAINT PAUL BUREAU OF RECORDS S88 City Hall St.Paul,Minnesota 5510°L oct. 16, 1968 Zoning Board Commerce Bldg. St. Paul Gentlemen: The City Council referred to the Zoning Board for recommendation th� attached petition of Harold M. Larsen for rezoning the South 15 ft. of Lot 11, Lots 12, 13, 1�+, 15 and 16, Nilsson's Subdivision of Lots 9 and 10, Block 4 of Rogers and Hendrick's Acre Lots No. 2, at the northeast corner of Maryland and Prosperity Aves., to Commercial l7istrict. Very trul,y yours, ��f City Clerk �� ng u(/ ` .� 1��J� -�� p �� - r ,r � _'`::'� i;;,�� , r,�/ � �l�� l �1E�p-' �,, � � ;' j�,�� ' � �l �: € F��,, �1��;��} ��. �1. � �;S�j[ t• .1�r,�j�,o�trY`'�*v � 0 s. ..-.F ..' ' . • • � DEP�►RTMENT OF FINANCE � CITY OF SAINT PAUL MINNESOTA I 13 Court House,6b 102 JAMES J. DALGLISH, Commiasioner LOUIS H.McKENNA, Deputy Commiasioner Phone:223-4646 October 16, 1968 To the Council City of Saint Paul Gentlemen: I have rechecked the attached petition of HaroZd M. Larsen, filed in the matter of rezoning, The South 15 feet of Lot 11, Lots 12, 13, 14, 15 and 16, Nilsson's Subdivision of Lots 9 and 10, Block 4 of Rogers and Hendrick's Acre Lots No. 2. The property is locat�d on the northeast corner of Msryland and Prosperity Avenues, from a Class "Residential" District to a �`Co�ercial" District, and find that said petition is sufficient. s very ly, /` ; ames J. lglis Commiss er o inanee Re: g-600 c.c. Mr. Ames N. R. Heiden O BOARD OF ZONING RLPORT AND ACTION November 21, 1968 pl�� hqaP 33 Acting under Legislative Code Chapter 60 thru 64 File No. 6622 passed August 22, 1922 as amended to August 24, 1964 ' Also 1. APPLICANT'S NANiE • Harold M. Larsen 2. CLASSIFICATION • � Amendment � Appeal• ❑Permit ❑ Other � �. 3. PURPOSE • Rezone from "A" Residence to Commercial for the construction of a bank 9. LOCATION ' Northeast corner of Maryland Avenue and Prosperity Avenue �. LEGAL DESCRIPTION � South 15' of Lot 11, Lots 12, 13, 14, 15, 16, Nilsson's Subdivision of Lots 9 � 10, Block 4, Rogers � Hendrick's . Acre. Lots No. 2. 6. PRESENT ZONING . "A" Residence 7. PURSUANT TO Loning Code Chapter; 64.06 Section: Paragraph: 8. STAFF INVESTIGATION & ItEPORT: Date: 11/12/68 gy• CLS A. SUFFICIENCY: The Commissioner of Finance, in a l�tter dated October 16, 1968, hac�declared the petition sufficient with the owners of 1�+ of a possible 21 (66 2/30) tracts having signed the petition. B. H15TORX: None C. PRO�SED USE: Deyelop the site with a bank and parking facilities D. FR@tTAGE � AREA: Two tracts divided by an alley with apnroximately 215' frontage along Prosperity AVenue and 125' along Maryland Avenue and with a combined area of 21,191.4 square feet. E. AREA ZO"fING: The adjacent area is zoned "A" Residence. A large area about 500' to the south is zoned Commercial (Phalen Center). One to four blocks to the west are several areas zoned for apartments, commercial, and industrial uses. F. COMPREHENSIVE PLAN: Recommends R-3, single family for the area north of Maryland Avenue; R-6, up to 25 D.U. per acre along the south side of Maryland Avenuec G. S1TE_COVDITIONS: Site is vacant except for older single family residence on east portion. The site is divided by an unimproved alley. The site slopes to the southwest and is 3' to 7' above the grade of Maryland Avenue with the east portion considerably higher than the remainder of the site. H. AREA CONDITIONS: The immediate area and that to the north is developed residential, predominantly single family. Higher uses exist to south and west. • -- 9.�BOARD ACTION; To Recommend � Approval � Denial � Council Lt. Dated Moved by: Gadler Yeas Nays X Ames Seconded by: Cohen X 'Cohen Date of Hearing Klein X Janes,Chmn. X McPartlin Council Action Secretary's remarks: Haarstick - Alt. x Gadler Date Maietta � LEGAL NOTICES ON THE BACK OF THIS SHEET � � f CITY OF SAINT PAUL MINNESOTA DEPARTMENT OF FINANCE 113 Court House 55102 December 20, 1968 City Clerk File X600, Page You are hereby noCified that a public hearing will be held in the Council Chambers of the City Hall and Court House in the City of St. Paul at 10:00 a.m. on January 3, 1969, on the peCition of Harold M. Larsen to rezone from an "A" Residential District to a Commercial District, the following property: the south IS feet of Lot 11 and Lots 12, 13, 14, 15 and 16, Nilsson's Subdivision of Lots 9 and 10, Block 4 of Rogers and Hendricks Acre Lots No. 2. 1he property is located on the northeast corner of Maryland and Prosperity Avenues. For further information contact Planning Board, Room 1010 Cou�erce Building or phone 223-l�15i. JAN�S J. DALGLISH Commissioner of Finance O oct. lo, 1968 Received Petition to rezone . 15 ft. of Lot 11, Lots 12 thru 16, Nilsson's ` bdivision of Lots 9 1 and 10, Block 4 of Ro ers a�d Hendricks Acre Lots No. 2, at NE corner of Maryla & Prosperity Aves . to Commerci� s i t in order o obtain more 1 ' signatur,,�. � �, /� �,�f, .�...:��.,� \ l � . . � .� /J /�� ..� � � � ;j �, ;,, . ..� __... Oct. 8, 1968 � �==_J Mr. Harold M. Larsen, _ 1626 Craig Place, St. Paul, Minn. Dear Sir: \ \ The Commissioner of Finance� reported to the City Council that your petition the�s .uth 15 feet of Lot 11, Lots 12, ].3, 1�+, 15 and 1 ilsso '��Sub� of Lots 9 and 10, Block �+ of Rogers and He icks Acre Lots No: 2, located on the northeast corner of Maxy nd arxt Pros �rity Avenues� to Cc�mercial District� is insufficien . 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Z �O � / 1 , � z � ;°- � W W �'; � � V � ' � `f ::I V � � .:L1. � ... ~ � ' II MINNESOTI� DEVARTMENT OF HEALTH � � Section d ViYI SYtidio ' • CERTIFICATE OF•DEATH• , t DLRC,�Of DEATH:ST�iE Oi MINNFSOT� II f.USUAI RESIDENCE (Whin ds nrd 6.ed II;nmrv��on�..euderica befwe � . COUrotY. ..Si�TE �b.COUNTY d.;w�on) b UiY. �[D11A_�_ ___ ; �.111NQ.60�Q fn`... RQIMAQ.I( ��W� c LENGiH O� < CIiY,.1MlkA�i�^^ ^\ � SL. PGlaf i sr�v�6e i� S1. PW1£ \ d.N�ME Of�(if no�:�ho�o�ul o.��u��i,o�,e��e.�n.dd��„7 — d.SiFEET/�DORE55 DOST OffICE HpSDIiAL OR � iNSrirurior� 1227 PRAb I 1227 Pnobvvlt,i.tu . IS PLACE Of DEn7H INSIDE CORD AiE LIMI 5"+ �—�' �.IS RESIDEfJCE IN IDE C /�TE LIMIT$? �,I.IS RESIDENCE ON�f/�RM� YES�( NO_ _ __ _ -- �YES �NO � YES ❑ NO�]—.�\ �.3.NAME Of -- I �.D� Month D�Y Y�u \ � DECE.�SED cr,,,.,,v.�M> �h F�� , °E^r" June 26� 1962 5.SEX �� COIOR OQ PHCE '.M�RRIED Z NE VER MARRIED� I B.DATE OG BIRTH I 9.�GE(In yi�n If UNDER 1 YE.1R li UNDER Y�MRS. I..�b�nM.r) li�,yn�M� D.n I Ho�n M�n. fpmq.�e (y(�Q wioovv�o e oivocceo� IMa�� 6, 1893 I 69 I I 10�.USUAI OCCUDH110N�.G�.��nd o1 wo•� lOb KIND O�BUSINE55 OR I 11.BI4THDlACE;Sme or lore�9n<oumry) �14.CiTIZEN Of WH�i done duny��ol wo,L��g I�le.i.in�I,eurtdl � INDUSTRY I COUNTRY� /^� � �- Noueewt6¢ I ------- St. PauY, tilirmeeota U.S.A � �3�.fniHE4'S N/�MF �� 13b.MOINER'S IvUIDEN N/1ME I I 1{.$DOUSE'S NAME N Z � �7 _ _Andn.exr Johnaon____ _ ,_11.inn.�e Lart_eon __ � V¢nne Faart¢1� _ ° � Z 15.WAS DECE�SED EVER IN U.5.ARMED fORCE$> 16 SOC SEC NO I� iNGORMANi';OWN$IGNATURE ACDRE�S � � cv`'�"°,e� No ot r.,,��.�..,a d«..d,�rv�<.>', � ��,e �u n H M<.�i.a,.�w<a,i��ro,�.�te�..��a°tn> `'n � 4 � i IN VA� N D^Ri I.DEnTH VIAS C�USED BY. � ONSET AND DE�TH _ � IMMEDIATE CAUSE(�) r�� / /Q�/� L.�__ G�y�L� 3 �-–1—�---- —:— � Z ^. �/�� i I � � , ��,��::�,<<' ouerocb�__�r.�1l1'��1��LL��'�''�"'�'�/ _ d .�.< ,� c.i, i � �h<�wdw. Z hM nir on i��e �` (c)_ DUE TO(c)-_ ____ p, �� DART II OTHER SIGN61CnNi CONDIilONS CONiRIBUiING TO�DFfTH BUT NOT QELATED O TME IMMEDI,ITE UUSE GivEN�1q.W/�5�UTODSY �� IIJ DARi 1:�) ' VERfp�tMED� I YE$ _^. NO � � 19� ^ h. 19b MnIpR IN IN ODERA71 N I W TION I V � I J 40�./�CCIDENI,$U�CIDE pR HOMICIDE �SDfCIfYi 40y.pESCRIBE FIOW INJURY OCCURRED. CEntn na ure ol in��ry�n D�n I or D�n II ol��m 18) � �YY< Y(k.i1ME Oi,� Hou.,L Mon�h. D.r, Yi�r i INJURY 40d INJU¢Y p�CURRED �40i.DIACE O� INJURY�,e 9. � ��buut.IIM.CITY,VILIAGE OR TOWNSHI� COUNiY STNiE WMILE AT � N01 WHI�E �. home, 1erm, Iscto�r, �veet oN�<e bld�., rt<.7 WORK AT WQQI( � y _—— y / _ Y1 i cert�h I.rt�rdrd Me d<cuua Irom �y y � ,ro � '� ..rd ihn I last 5.w the decsa�d.1�.�on _� _t9y�.2- 'E h��de. a,red s�--___._ � ' .�/Y/�' m on tn�date�u�ed�bovi�rd io th<bm d mr�nowled�r.Iron tA<c�u�<� �ud. y vs.—.�si �ruee� –– co.r,.o.❑d.� . . __ . /J P46.ADDRESS .44c Dh7E I(i1JED a ayC . � i �'i 7 E" �—�i�s 1 s��i/ I C �.� .,� ��l rr��7=..� ,�r�.cu-�"6 � �'�-- � �� ` C>�? E 43 BURIA��REMniI N 43b D�iE 4k.NAME Of EMETERY C EMAT RY ' Y3d.LOCAfION(C��r.��Il�qe or counr�) �Srn a REMO V,1L(So��M) �� u�ia� -- 14b2_i � n C n cr_ �Ma S,�/ ��_�__�i�.nnQbo#� _ .� L«nIR ii�EU BY �45. 157R R S SIGN/�7 � 6,$�Gf�AiURE OF RTI N OR FU EN R/LL DIRECIOR �DUP(SS m �-�� ba��,_ ��_x�� i � �� ,�� _„ �-a5o 3 � � '= - - -��!�.�._�. ;� �; ' , �, 1 hereby certify that the foregoing is a true and correct photocopy of the record of death filed, recorded and preserved in the office of the Health Officer and Re�strar. In wirness whereof, I have hereunto set my hand and affixed the seal o the Bureau of Health of the City of St. Paul, Minnesota, this � �y of 19 ' (Signed) ty Regi rar _'j + I st � w 2nd � ` Laid over to 3rd and app 1 ` � —Adopted / =� Yeas Nays Yeas Nays \Carlson Carlson �Dalglish alglish 241�� vleredith eredith V .�a#enen--� Peterson � �prafka � Sprafka � � � Tedesco Tedesco �r. President Byrne Mr. President Byrne �O