Most cartography was done using FreeHand --- since Adobe bought them out, most map makers have grudgingly begun switching to Adobe Illustrator.

You should be able to achieve what you want by placing the .pdf into a program such as InDesign or Scribus or Illustrator or Inkscape and adding the customizing elements over it.

Most cartography for publication done using electronic files was done using FreeHand to post-process for publication raw files exported from Geographic Information Systems (GIS) --- since Adobe bought them out, most map makers have grudgingly begun switching to Adobe Illustrator.

You should be able to achieve what you want by placing the .pdf into a program such as InDesign or Scribus or Illustrator or Inkscape and adding the customizing elements over it.