The Town Planning Board shall only grant such change after a public notice and a public hearing thereon. The Town Planning Board, in granting or denying approval, shall take into consideration the character of the neighborhood, the adaptability of the subject premises to a conforming use, the effect of the proposed use on the neighborhood and the spirit and intent of this chapter. The Town Planning Board may establish such terms and conditions in granting approval as it deems necessary or appropriate to safeguard the health, safety and general welfare of the neighborhood, as well as aesthetic considerations.