No existing structure or structure and premises in combination devoted to a use not permitted by this chapter in the district in which it is located shall be enlarged, extended, constructed, reconstructed, moved or structurally altered, except in changing the use of the structure to a use permitted in the district in which it is located, unless the Zoning Hearing Board, after a public hearing, determines that the enlargement or extension is necessitated by the natural expansion and growth of the trade of the nonconforming use. Approval of the Zoning Hearing Board shall not be required for routine maintenance, repairs to strengthen or restore the structure to a safe condition or any other cosmetic alteration which does not change the use of the structure or increase the area of the structure devoted to the nonconforming use.