How do you account for the height of the new control tower in relation to the requirements of ICAO Annex 14?
I don't.
I don't often read ICAO Annex 14, and I try hard to not run into control towers regardless of their height.
Is Mumbai an "adventure" like every other airport within 3000 miles? Indeed!
Maybe an An-124 or A300 or B757 will lose an engine at V1 one of these days, and mow down some of those obstacles. I doubt it will have much effect -- the Indians will just rebuild them...