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Originally, the site hosted a chapel titled Santa Maria a Valiana, which housed a venerated image of the Madonna, engraved on an oak trunk. In 1515 the church was enlarged by Medici, and the administration was transferred to the Franciscans. It has a single nave plan with chapels on the sides; the apse and the roof, destroyed by an allied bombardment, were rebuilt after world war II. The chapel of the Madonna was designed by Pasquale Poccianti in the 19th century. It has a neo-Classical plan with stucco decorations by Emilio Santarelli. In the middle there is a small temple by Amalia Dupré that shelters the venerated icon of the "Madonna di San Romano".