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In March 1970, Abp. Vladimir was elevated to the rank of Metropolitan by the Moscow Patriarchate when the patriarchate granted autonomy to the Church of Japan. After receiving canonical release from the Moscow Patriarchate in March 1972, Metr. Vladimir returned to the United States as assistant to Abp. [[John (Shahovskoy) of San Francisco |John (Shahovskoy)]] of San Francisco. Then two years later, in 1974, Metr. Vladimir succeeded to the position of ruling bishop of the Diocese of San Francisco and Western United States when Abp. John retired. However, in July 1975, Metr. Vladimir was granted a leave of absence due to poor health. He battled cancer until his death on [[August 2]], 1997 in Grand Rapids, Michigan.
Following a hierarchical [[Divine Liturgy]], Metr. Vladimir was buried at [[St. Tikhon's Orthodox Monastery (South Canaan, Pennsylvania) |St Tikhon’s Tikhon's Monastery]] in South Canaan, Pennsylvania on [[August 8]], 1997.
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