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the changes to previously approved planning permissions (Planning Ref no. 22/60289 & 23/60796) for a Primary Care Centre at this site. The changes consist of the following: a) the omission of an on-site roundabout in place of a connecting road, b) the relocation of mechanical plant to the roof of the main building, c) the provision of louvred screens on the roof of the main building to screen mechanical plant