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Comment by andalinmicphew
Checkout https://bikehopper.org for solid elevation, bike infrastructure and transit-aware routing around the Bay Area. Some friends and I built this about 5 years ago and continue to maintain it. We use 1m DTM elevation data for SF and 50m for rural areas. DTM is a must for elevation based routing in SF as there are so many sizable buildings, large trees the other models fail hard.