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0 5. That the Hospital develop a process within six months that provides for prompt responses and reasonable efforts by the Hospital Administrator to remedy neighborhood concerns. . This process should include at least quarterly meetings between the Hospital and the neighborhood. 6. In order to discourage entry and exit from the Lexington Avenue side of the Hospital and to encourage access by way of Locust Avenue only, the Hospital shall install two signs indicating that there is no left turn out of nor right turn into the Sycamore Street access. Once the Ambulatory Care Center is completed and all access improvements are in place as planned, the Sycamore access will be evaluated by the City to determine if further improvements are needed there. If such improvements are needed, the hospital shall construct a curb island four feet wide and forty-five feet long, or other physical barrier, running from a point approximately even with the west side of the driveway at 915 Sycamore Street to a point east of the existing manhole in Sycamore Street, provided that the City prohibits parking on the south side of Sycamore Street from the Hospital access to St. Charles Avenue and from the Hospital access east. 7. Voluntary agreement on the part of Martha Jefferson • Hospital (the "Hospital") to expand the current special permit boundary so that the amended special permit site includes all of the parcels between former Taylor Street and Sycamore Street that front on Locust Avenue (Parcels 233, 232, 231, 230, 229, 228 and 227 on City Tax Map 53). Said agreement is to be evidenced by a letter or written consent statement in behalf of the Hospital by its Board of Directors delivered to the Clerk of Council, which shall be attached to and become a part of this special use permit. • Inclusion of the Locust Avenue properties in this fashion is necessary to protect nearby residential properties from adverse affects arising from the expansion and operation of the Hospital. Any changes in the use of the above parcels after May 6, 1991, which cause significant changes in the use or the exterior appearance of those parcels and improvements thereon shall be subject to approval of the City through the special use permit process. 2 Approved by Council May 6, 1991 vC erk of City Council 1-6-21