Permit for the demolition of a detached accessory structure (garage), for the erection of an addition to an existing detached structure, and for the erection of one (1) accessory, double-faced, digital freestanding sign (to replace previously approved freestanding sign at the same location), size and location as shown on plan application. For use as previously approved sole medical, dental, and health practitioner, with four (4) accessory surface parking spaces (including one (1) van-accessible space).