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THE CHANGE OF USE OF THE PREVIOUSLY APPROVED DEVELOPMENT UNDER PLANNING REFERENCE 20/503 (DEVELOPMENT CONSISTING OF THE CONSTRUCTION OF A NEW 4 STOREY NURSING HOME, STEP DOWN FACILITY AND REHABILITATION AND CONVALESCENCE UNIT REUSING THE EXISTING STRUCTURE ON THE SITE TO ACCOMMODATE A TOTAL OF 244 BEDROOMS, COMMUNAL SPACES, DINING AREAS, ADMINISTRATION, ANCILLARY SERVICE SPACES AND MEETING AND CONSULTING ROOMS. THE DEVELOPMENT ALSO INCLUDES 197 CAR PARKING SPACES, NEW SITE ENTRANCE FROM THE ARDAN ROUNDABOUT, ACCESS ROADS, SECURITY KIOSK, PUMP STATION, PLANT ROOMS, LANDSCAPINGAND ALL ASSOCIATED SITE WORKS AND SERVICES.) TO A 99 IN-PATIENT BED SPACE ACUTE HOSPITAL TO INCLUDED OPERATING THEATRES, DIAGNOSTIC ROOMS, ENDOSCOPY SERVICES, CONSULTANT ROOMS AND ALL ASSOCIATED ANCILLARY SPACES AND SERVICES RELATED TO AN ACUTE HOSPITAL AND ALL ASSOCIATED SITE WORKS AND SERVICES